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General NPI Number Information
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NPI Number | 1285727214
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Entity Type | Organization
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Legal Business Name | LAWRENCE KESSLER AND ASSOC.,LTD.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 44 E. MAIN STREET SUITE 100
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City | CHAMPAIGN
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State | IL
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Zip | 61820-3636
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Country | US
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Telephone | 217-356-5377
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Fax | 217-356-5379
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Provider Business Mailing Address
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Address Line | 1514 W CHARLES ST
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City | CHAMPAIGN
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State | IL
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Zip | 61821-4427
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Country | US
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Telephone | 217-377-2360
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Fax | 217-398-2801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE HOWARD KESSLER
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Credential | O.D.
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Telephone | 217-377-2360
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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 | 046-6931
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License Number State | IL
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