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General NPI Number Information
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NPI Number | 1316781800
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Entity Type | Individual
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Provider Name | PAUL ISAAC LUTTRELL OD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 606 NC MUSIC FACTORY BLVD APT 305
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City | CHARLOTTE
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State | NC
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Zip | 28206-6023
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Country | US
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Telephone | 937-728-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 606 NC MUSIC FACTORY BLVD APT 305
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City | CHARLOTTE
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State | NC
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Zip | 28206-6023
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Country | US
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Telephone | 937-728-7064
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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 | OPT.2493
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License Number State | SC
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