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General NPI Number Information
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NPI Number | 1245264936
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Entity Type | Organization
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Legal Business Name | LORA L. DURST, O.D., L.L.C.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1301 SW 37TH ST
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City | TOPEKA
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State | KS
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Zip | 66611-2308
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Country | US
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Telephone | 785-266-5544
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Fax | 785-266-4381
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Provider Business Mailing Address
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Address Line | 5731 SW 33RD CT
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City | TOPEKA
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State | KS
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Zip | 66614-4564
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. LORA L. DURST
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Credential | O.D.
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Telephone | 785-215-2112
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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 | 1440-3
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License Number State | KS
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