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General NPI Number Information
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NPI Number | 1194727669
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Entity Type | Individual
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Provider Name | ALFRED F LAPPANO JR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 10751 MAPLE CREEK DR SUITE 104
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City | TRINITY
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State | FL
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Zip | 34655-4412
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Country | US
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Telephone | 727-375-8442
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Fax | 727-375-0942
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Provider Business Mailing Address
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Address Line | 10751 MAPLE CREEK DR SUITE 104
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City | TRINITY
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State | FL
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Zip | 34655-4412
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Country | US
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Telephone | 727-375-8442
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Fax | 727-375-0942
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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 | OPC1667
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License Number State | FL
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