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General NPI Number Information
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NPI Number | 1720420037
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Entity Type | Individual
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Provider Name | ERIN KINDY O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2013
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 1401 W WALNUT ST
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City | ROGERS
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State | AR
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Zip | 72756-3317
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Country | US
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Telephone | 479-636-2012
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Fax | 479-631-7416
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Provider Business Mailing Address
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Address Line | 1180 NATCHEZ PT APT 27
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City | MEMPHIS
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State | TN
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Zip | 38103-0953
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Country | US
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Telephone | 479-903-2411
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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 | 3126
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License Number State | TN
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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 | 2697
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License Number State | AR
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