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General NPI Number Information
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NPI Number | 1609392240
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Entity Type | Organization
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Legal Business Name | GERALD L ALMY II OD PLLC
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 152 W SPRAGUE RD
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City | IONIA
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State | MI
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Zip | 48846-7402
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Country | US
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Telephone | 616-527-5894
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Fax |
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Provider Business Mailing Address
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Address Line | 1969 PLATINUM FALLS DR SE
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City | ADA
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State | MI
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Zip | 49301-8307
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Country | US
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Telephone | 616-676-1177
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. GERALD LAWRENCE ALMY II
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Credential | OD
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Telephone | 616-676-1177
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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 | 4901002730
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License Number State | MI
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