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General NPI Number Information
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NPI Number | 1386780187
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Entity Type | Individual
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Provider Name | LINDA JO SPITZER OD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1675 CENTER AVE W SINKLER OPTICAL SUITE C
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City | DILWORTH
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State | MN
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Zip | 56529
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Country | US
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Telephone | 218-236-5048
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Fax | 218-236-6217
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Provider Business Mailing Address
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Address Line | 1675 CENTER AVE W SINKLER OPTICAL SUITE C
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City | DILWORTH
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State | MN
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Zip | 56529
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Country | US
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Telephone | 218-236-5048
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Fax | 218-236-6217
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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 | 491
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0422
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License Number State | MN
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