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General NPI Number Information
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NPI Number | 1699342162
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Entity Type | Individual
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Provider Name | KRISTY HEATH O'BRIEN OD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 7499 PARKLANE RD
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City | COLUMBIA
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State | SC
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Zip | 29223-7650
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Country | US
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Telephone | 803-741-7177
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Fax |
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Provider Business Mailing Address
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Address Line | 230 KINGS HWY E
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City | HADDONFIELD
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State | NJ
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Zip | 08033-1907
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Country | US
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Telephone | 843-767-2328
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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 | 2266
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License Number State | SC
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