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General NPI Number Information
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NPI Number | 1558714196
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Entity Type | Individual
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Provider Name | KALYNN GOOD OD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 19539 HESS RD UNIT 102
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City | PARKER
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State | CO
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Zip | 80134-3890
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Country | US
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Telephone | 720-853-2022
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Fax | 720-853-2022
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Provider Business Mailing Address
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Address Line | 19539 HESS RD UNIT 102
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City | PARKER
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State | CO
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Zip | 80134-3890
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Country | US
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Telephone | 720-853-2022
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Fax | 720-853-2022
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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 | 33772TLG
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License Number State | CA
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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 | OPT.0003372
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00667300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OPT.0003372
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 33772TLG
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | OPT.0003372
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 33772TLG
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 27OA00667300
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License Number State | NJ
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Taxonomy #9
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3372
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License Number State | CO
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