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General NPI Number Information
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NPI Number | 1295893790
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Entity Type | Organization
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Legal Business Name | DR LYN-MARIE BEHMKE OD
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2757 PAWTUCKET AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3347
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Country | US
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Telephone | 401-434-5532
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Fax | 401-435-5405
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Provider Business Mailing Address
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Address Line | 2757 PAWTUCKET AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3347
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Country | US
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Telephone | 401-434-5532
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Fax | 401-435-5405
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYN-MARIE BEHMKE
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Credential | OD
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Telephone | 401-434-5532
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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 | RIOD341
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License Number State | RI
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