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General NPI Number Information
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NPI Number | 1144831561
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Entity Type | Organization
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Legal Business Name | LMT 4U INC.
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 2563 FAIR OAKS BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95825-7683
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Country | US
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Telephone | 916-489-9985
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Fax |
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Provider Business Mailing Address
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Address Line | 1010B FLORIN RD
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City | SACRAMENTO
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State | CA
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Zip | 95831-3598
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Country | US
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Telephone | 916-393-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNN TILLMAN
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Credential |
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Telephone | 916-393-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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