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General NPI Number Information
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NPI Number | 1538379011
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Entity Type | Individual
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Provider Name | PRESTON G. LINLEY O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 5700 MONROE ST SUITE 211 PROMEDICA HEALTH AND WELLNESS CENTER
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City | SYLVANIA
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State | OH
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Zip | 43560
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Country | US
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Telephone | 866-935-5393
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Fax | 734-243-3236
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Provider Business Mailing Address
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Address Line | 5700 MONROE ST SUITE 211 PROMEDICA HEALTH AND WELLNESS CENTER
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City | SYLVANIA
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State | OH
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Zip | 43560
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Country | US
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Telephone | 866-935-5393
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Fax | 734-243-3236
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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 | 5688
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004510
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT5688THER
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License Number State | OH
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