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General NPI Number Information
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NPI Number | 1811821895
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Entity Type | Individual
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Provider Name | KAITLIN NICOLE DOVERSPIKE OD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 6725 STATE PARK RD STE B
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City | TRAVELERS REST
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State | SC
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Zip | 29690-1831
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Country | US
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Telephone | 864-834-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 53 COX ST
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City | TRAVELERS REST
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State | SC
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Zip | 29690-1571
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Country | US
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Telephone | 814-249-2947
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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 | 2601
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License Number State | SC
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