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General NPI Number Information
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NPI Number | 1144337650
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Entity Type | Individual
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Provider Name | LISA TEEL 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 | 01/18/2011
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Provider Practice Location Address
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Address Line | 545 3RD ST W
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City | SONOMA
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State | CA
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Zip | 95476-6501
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Country | US
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Telephone | 707-996-1052
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Fax | 707-996-6787
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Provider Business Mailing Address
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Address Line | 50 PROFESSIONAL CENTER DR SUITE 210
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City | ROHNERT PARK
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State | CA
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Zip | 94928-2164
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Country | US
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Telephone | 707-996-1052
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Fax | 707-996-6787
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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 | OPT9704
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License Number State | CA
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