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General NPI Number Information
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NPI Number | 1528884772
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Entity Type | Individual
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Provider Name | MS. THERESA KLEE
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 264 SRT-12 DINEH OPTICAL HIWY NAVAJO NATION SHOPING CEN SUITE 12
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City | WINDOW ROCK
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State | AZ
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Zip | 86515
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Country | US
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Telephone | 928-871-3463
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2519
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City | WINDOW ROCK
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State | AZ
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Zip | 86515
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Country | US
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Telephone | 928-871-3463
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State | AZ
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