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General NPI Number Information
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NPI Number | 1275552721
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Entity Type | Individual
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Provider Name | LISA DOWLING O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 650 OLD WILLOW AVE STE L
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City | HONESDALE
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State | PA
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Zip | 18431-4218
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Country | US
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Telephone | 570-251-9100
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Fax | 570-251-9926
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Provider Business Mailing Address
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Address Line | 29 HICKORY LN
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City | NARROWSBURG
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State | NY
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Zip | 12764-5905
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Country | US
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Telephone | 845-252-3095
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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 | OEG001391
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License Number State | PA
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