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General NPI Number Information
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NPI Number | 1376661777
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Entity Type | Organization
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Legal Business Name | DUBUQUE OPTOMETRIC, P.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 3343 CENTER GROVE DR
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City | DUBUQUE
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State | IA
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Zip | 52003-5264
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Country | US
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Telephone | 563-588-2093
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Fax | 563-588-0590
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Provider Business Mailing Address
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Address Line | 3343 CENTER GROVE DR
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City | DUBUQUE
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State | IA
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Zip | 52003-5264
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Country | US
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Telephone | 563-588-2093
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Fax | 563-588-0590
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | LYNN M LESTER-HOWLAND
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Credential |
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Telephone | 563-588-2093
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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 |
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License Number State |
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