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General NPI Number Information
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NPI Number | 1144330473
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Entity Type | Individual
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Provider Name | LUANNE DANES OD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 5955 ZEAMER AVE
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City | JBER
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State | AK
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Zip | 99506-3702
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Country | US
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Telephone | 75-800-2769
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Fax |
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Provider Business Mailing Address
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Address Line | 5955 ZEAMER AVE
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City | JBER
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State | AK
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Zip | 99506-3702
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Country | US
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Telephone | 907-580-0276
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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 | OD00003953
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0003959
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License Number State | WA
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