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General NPI Number Information
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NPI Number | 1497725212
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Entity Type | Individual
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Provider Name | SOMER JOHNSON LYONS O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 1687 US HIGHWAY 395 N #2
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City | MINDEN
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State | NV
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Zip | 89423-4321
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Country | US
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Telephone | 775-783-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 115 JACKDAW LN
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City | CARSON CITY
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State | NV
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Zip | 89704-9719
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Country | US
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Telephone |
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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 | 489
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License Number State | NV
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