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General NPI Number Information
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NPI Number | 1881124329
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Entity Type | Individual
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Provider Name | ANDREW KRYDER OD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 6851 VIRGINIA PKWY STE 101
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 214-865-6266
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Fax | 214-865-6305
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Provider Business Mailing Address
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Address Line | 6851 VIRGINIA PKWY STE 101
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City | MCKINNEY
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State | TX
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Zip | 75071-5622
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Country | US
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Telephone | 214-865-6266
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Fax | 214-865-6305
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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 | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 9452TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9452TG
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License Number State | TX
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