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General NPI Number Information
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NPI Number | 1467760793
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Entity Type | Organization
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Legal Business Name | JOSEPH LAMMENS OD PA
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | WALMART VISION CENTER 150 HARRISON AVE
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City | KEARNY
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State | NJ
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Zip | 07032-5950
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Country | US
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Telephone | 201-955-0354
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Fax | 201-955-0363
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Provider Business Mailing Address
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Address Line | WALMART VISION CENTER 150 HARRISON AVE
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City | KERNY
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State | NJ
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Zip | 07032-2641
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Country | US
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Telephone | 315-790-2909
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH LAMMENS
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Credential | O.D.
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Telephone | 315-790-2909
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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 | 27AO00606500
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License Number State | NJ
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