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General NPI Number Information
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NPI Number | 1063678449
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Entity Type | Individual
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Provider Name | RANDI LORAINE DAY O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 818 FRISCO AVE
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City | CLINTON
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State | OK
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Zip | 73601-3323
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Country | US
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Telephone | 580-440-0077
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Fax | 580-200-1096
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Provider Business Mailing Address
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Address Line | 818 FRISCO AVE
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City | CLINTON
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State | OK
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Zip | 73601-3323
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Country | US
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Telephone | 580-440-0077
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Fax | 580-200-1096
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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 | 2554
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License Number State | OK
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