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General NPI Number Information
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NPI Number | 1124135736
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Entity Type | Individual
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Provider Name | JANE E LINVILLE OD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 112B MAIN ST S
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City | PIERZ
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State | MN
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Zip | 56364-4400
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Country | US
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Telephone | 320-468-2020
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Fax | 320-468-1111
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Provider Business Mailing Address
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Address Line | 112B MAIN ST S PO BOX 202
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City | PIERZ
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State | MN
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Zip | 56364-4400
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Country | US
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Telephone | 320-468-2020
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Fax | 320-468-1111
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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 | 2278
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License Number State | MN
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