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General NPI Number Information
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NPI Number | 1427221472
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Entity Type | Organization
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Legal Business Name | LEWIS A CARRARINI OD INC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 1933 DAILY AVE
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City | LATROBE
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State | PA
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Zip | 15650-2966
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Country | US
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Telephone | 724-532-3727
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Fax | 724-532-3728
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Provider Business Mailing Address
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Address Line | 1933 DAILEY AVE
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City | LATROBE
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State | PA
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Zip | 15650-3087
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Country | US
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Telephone | 724-532-3727
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Fax | 724-532-3728
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEWIS A CARRARINI
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Credential | OD
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Telephone | 724-532-3727
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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 |
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License Number State |
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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 |
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License Number State |
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