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General NPI Number Information
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NPI Number | 1538851555
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Entity Type | Individual
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Provider Name | KYLIE BIBLE OD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 339 WHITE BRIDGE PIKE
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City | NASHVILLE
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State | TN
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Zip | 37209-3208
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Country | US
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Telephone | 615-761-6365
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Fax |
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Provider Business Mailing Address
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Address Line | 2165 NOLENSVILLE PIKE APT 126
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City | NASHVILLE
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State | TN
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Zip | 37211-2267
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Country | US
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Telephone | 240-727-3297
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3818
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License Number State | TN
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