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General NPI Number Information
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NPI Number | 1396007951
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Entity Type | Individual
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Provider Name | PAMELA DAWN LYNCH OD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 1180 N MONROE ST
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City | MONROE
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State | MI
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Zip | 48162-3190
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Country | US
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Telephone | 734-243-5300
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Fax | 734-243-3236
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 4TH FLOOR
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City | TOLEDO
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State | OH
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Zip | 43604-7101
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Country | US
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Telephone |
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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 | 4901004698
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License Number State | MI
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