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General NPI Number Information
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NPI Number | 1699343756
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Entity Type | Individual
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Provider Name | KASEY LENHART
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 479 BYPASS 72 NW STE 107
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City | GREENWOOD
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State | SC
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Zip | 29649-1484
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Country | US
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Telephone | 864-388-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 11984 OAKRIDGE LN
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City | SAINT CHARLES
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State | MI
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Zip | 48655-9504
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Country | US
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Telephone | 989-780-3020
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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 | OPT.2281
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License Number State | SC
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