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General NPI Number Information
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NPI Number | 1982661237
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Entity Type | Individual
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Provider Name | KRISTIN YEN LE O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 13611 SKINNER RD SUITE 155
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City | CYPRESS
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State | TX
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Zip | 77429-1018
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Country | US
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Telephone | 281-304-5060
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Fax | 281-304-5070
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Provider Business Mailing Address
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Address Line | 16910 THOMAS RIDGE LN
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City | CYPRESS
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State | TX
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Zip | 77433-3956
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Country | US
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Telephone | 281-304-5060
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Fax | 281-304-5070
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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 | 6445TG
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License Number State | TX
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