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General NPI Number Information
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NPI Number | 1609155431
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Entity Type | Individual
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Provider Name | AIMEE LAM HASWELL O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 100 BUTTERNUT LN
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City | CLAYTON
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State | NC
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Zip | 27520-5868
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Country | US
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Telephone | 919-550-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 70 WILDERS WOODS GROVE LN
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City | CLAYTON
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State | NC
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Zip | 27527-9055
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Country | US
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Telephone | 334-354-8064
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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 | 7821T
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License Number State | TX
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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 | 2313
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License Number State | NC
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