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General NPI Number Information
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NPI Number | 1336209840
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Entity Type | Individual
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Provider Name | STEPHEN C. LOBAUGH O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 1629 K ST NW SUITE 502
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 202-659-2010
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Fax | 202-683-2061
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Provider Business Mailing Address
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Address Line | 4600 N PARK AVE PLAZA NORTH
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City | CHEVY CHASE
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State | MD
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Zip | 20815-4518
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Country | US
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Telephone | 301-841-6776
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Fax | 301-215-4114
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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 | OP1000011
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License Number State | DC
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