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General NPI Number Information
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NPI Number | 1801202387
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Entity Type | Individual
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Provider Name | AUDREY LU O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 8560 CHURCH RD
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City | KANSAS CITY
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State | MO
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Zip | 64157-1202
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Country | US
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Telephone | 816-479-5899
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Fax |
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Provider Business Mailing Address
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Address Line | 8560 CHURCH RD
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City | KANSAS CITY
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State | MO
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Zip | 64157-1202
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Country | US
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Telephone | 816-479-5899
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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 | 2014021050
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License Number State | MO
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