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General NPI Number Information
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NPI Number | 1437296233
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Entity Type | Individual
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Provider Name | LAUREN LYNN PELUSO O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 175 QUINN DR
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City | PITTSBURGH
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State | PA
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Zip | 15275-1013
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Country | US
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Telephone | 412-788-1691
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Fax |
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Provider Business Mailing Address
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Address Line | 2117 VENTANA DR
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City | CORAOPOLIS
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State | PA
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Zip | 15108-9431
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Country | US
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Telephone | 412-445-3674
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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 | OEG001751
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License Number State | PA
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