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General NPI Number Information
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NPI Number | 1598980500
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Entity Type | Individual
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Provider Name | LORI ANNE SANGER O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 13420 WEST COAL MINE AVENUE WALMART VISION - ATTN: DR. SANGER
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City | LITTLETON
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State | CO
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Zip | 80127-5406
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Country | US
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Telephone | 303-979-5652
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Fax | 303-979-5654
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Provider Business Mailing Address
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Address Line | 6036 SIMMS ST
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City | ARVADA
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State | CO
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Zip | 80004-4440
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Country | US
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Telephone | 303-827-9592
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Fax | 303-979-5654
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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 | 2491
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License Number State | CO
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