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General NPI Number Information
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NPI Number | 1952726432
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Entity Type | Organization
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Legal Business Name | K AND A OPTOMETRY INC
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 2351 SUNSET BLVD STE 190
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City | ROCKLIN
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State | CA
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Zip | 95765-4306
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Country | US
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Telephone | 916-624-9396
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Fax | 916-624-9215
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Provider Business Mailing Address
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Address Line | 2351 SUNSET BLVD STE 190
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City | ROCKLIN
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State | CA
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Zip | 95765-4306
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Country | US
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Telephone | 916-624-9396
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Fax | 916-624-9215
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. KRISTYNA LENSKY
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Credential | O.D.
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Telephone | 916-624-9396
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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 | 13081T
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License Number State | CA
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