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General NPI Number Information
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NPI Number | 1386626794
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Entity Type | Individual
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Provider Name | ALBERT RAY LAMOTTE OD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2005
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 200 AMERICAN BLVD W
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City | BLOOMINGTON
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State | MN
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Zip | 55420-1120
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Country | US
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Telephone | 952-888-6110
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 EVEREST LN N
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City | PLYMOUTH
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State | MN
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Zip | 55446-4520
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Country | US
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Telephone | 612-701-7064
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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 | 1893
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License Number State | MN
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