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General NPI Number Information
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NPI Number | 1598709537
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Entity Type | Individual
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Provider Name | CHRISTINE ANDERSON KREIDE OD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1370 US HIGHWAY 80 E STE E
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City | POOLER
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State | GA
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Zip | 31322-8902
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Country | US
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Telephone | 912-965-9605
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Fax | 912-965-9604
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Provider Business Mailing Address
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Address Line | 125 GRAND VIEW DR
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City | POOLER
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State | GA
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Zip | 31322-4043
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Country | US
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Telephone | 912-655-2120
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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 | OPT1194
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License Number State | GA
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