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General NPI Number Information
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NPI Number | 1689150674
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Entity Type | Individual
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Provider Name | KELSEY STERK OD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 10901 E MCDOWELL RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85256-5300
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Country | US
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Telephone | 480-278-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 W MONTE AVE
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City | MESA
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State | AZ
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Zip | 85210-7634
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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 | 2277
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License Number State | AZ
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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 | 002277
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License Number State | AZ
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