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General NPI Number Information
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NPI Number | 1487036612
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Entity Type | Individual
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Provider Name | CLINTON STENGEL O.D
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Gender | Male
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 1025 SENDERO SPRINGS DR STE 150
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City | ROUND ROCK
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State | TX
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Zip | 78681-1154
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Country | US
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Telephone | 512-660-5361
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Fax | 512-862-1843
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Provider Business Mailing Address
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Address Line | 832 WATSON WAY
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-7832
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Country | US
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Telephone | 281-467-3896
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8726T
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License Number State | TX
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