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General NPI Number Information
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NPI Number | 1528494887
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Entity Type | Organization
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Legal Business Name | RLF OPTOMETRY LLC
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 09/18/2013
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Provider Practice Location Address
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Address Line | 3700 S GRANGE
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City | SIOUX FALLS
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State | SD
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Zip | 57105
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Country | US
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Telephone | 605-988-9153
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Fax | 605-782-9016
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Provider Business Mailing Address
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Address Line | 1215 S DUNDEE DR
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City | SIOUX FALLS
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State | SD
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Zip | 57106
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Country | US
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Telephone | 605-929-3012
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Fax | 605-782-9016
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA FRANEY
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Credential | OD
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Telephone | 605-929-3012
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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 | 493
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License Number State | SD
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