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General NPI Number Information
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NPI Number | 1710804596
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Entity Type | Individual
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Provider Name | SABRINA THENG SARUN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 7841 MALL RD STE 100
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City | FLORENCE
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State | KY
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Zip | 41042-1439
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Country | US
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Telephone | 859-525-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W RIVERCENTER BLVD APT 804
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City | COVINGTON
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State | KY
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Zip | 41011-2444
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Country | US
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Telephone | 813-708-3808
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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 | 2493DT
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License Number State | KY
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