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General NPI Number Information
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NPI Number | 1407017148
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Entity Type | Organization
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Legal Business Name | DR. ELIZABETH M. DARBY,OPTOMETRIST,PLLC.
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 3701B OLD FOREST RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-6947
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Country | US
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Telephone | 434-385-0213
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Fax | 434-385-0214
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Provider Business Mailing Address
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Address Line | 3701B OLD FOREST RD
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City | LYNCHBURG
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State | VA
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Zip | 24501-6947
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Country | US
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Telephone | 434-385-0213
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Fax | 434-385-0214
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ELIZABETH M. DARBY
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Credential | O.D.
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Telephone | 434-385-0213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 0618001306
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License Number State | VA
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