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General NPI Number Information
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NPI Number | 1578816013
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Entity Type | Organization
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Legal Business Name | SAVANNAH LAMB INC
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 115 RIVER HILLS RD
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City | ASHEVILLE
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State | NC
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Zip | 28805-2550
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Country | US
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Telephone | 828-702-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 66 DUNKIRK RD
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City | ASHEVILLE
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State | NC
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Zip | 28803-2242
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Country | US
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Telephone | 817-702-2555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAVANNAH MICHELLE LAMB
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Credential | OD
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Telephone | 828-702-2555
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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 | 2288
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License Number State | NC
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