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General NPI Number Information
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NPI Number | 1477265478
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Entity Type | Individual
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Provider Name | LINDSAY BUURMA OD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 2279 N PARK DR STE 910
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City | HOLLAND
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State | MI
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Zip | 49424-8527
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Country | US
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Telephone | 616-510-2243
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Fax | 616-510-2244
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Provider Business Mailing Address
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Address Line | 2585 KNIGHTSBRIDGE RD SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6754
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Country | US
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Telephone | 616-644-3511
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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 | 4901005654
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License Number State | MI
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