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General NPI Number Information
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NPI Number | 1477715399
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Entity Type | Individual
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Provider Name | LYNNE SANDERS STEVENS O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 833 SAINT VINCENTS DR SUITE 401
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1606
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Country | US
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Telephone | 205-933-7932
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Fax |
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Provider Business Mailing Address
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Address Line | 4053 WHITE OAK DR
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City | VESTAVIA
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State | AL
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Zip | 35243-5029
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Country | US
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Telephone | 205-382-1041
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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 | S-B94-TA-803
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License Number State | AL
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