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General NPI Number Information
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NPI Number | 1598172470
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Entity Type | Individual
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Provider Name | JACQUELINE SITTON O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2014
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Last Update Date | 07/12/2014
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Provider Practice Location Address
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Address Line | 1201 BARBARA JORDAN BLVD STE 1470
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City | AUSTIN
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State | TX
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Zip | 78723-3083
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Country | US
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Telephone | 512-452-3227
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Fax |
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Provider Business Mailing Address
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Address Line | 12700 HILL COUNTRY BLVD STE S-110
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City | BEE CAVE
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State | TX
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Zip | 78738-6737
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Country | US
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Telephone |
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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 | 8507T
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License Number State | TX
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