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General NPI Number Information
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NPI Number | 1932770237
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Entity Type | Individual
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Provider Name | AMBER NELSON O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 14058 BEE CAVE PKWY BLDG D
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City | AUSTIN
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State | TX
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Zip | 78738-7071
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Country | US
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Telephone | 512-643-9792
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Fax |
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Provider Business Mailing Address
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Address Line | 14058 BEE CAVE PKWY BLDG D
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City | AUSTIN
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State | TX
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Zip | 78738-7071
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Country | US
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Telephone |
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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 | 10260TG
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License Number State | TX
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