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General NPI Number Information
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NPI Number | 1619902384
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Entity Type | Individual
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Provider Name | LAKHVIR SINGH OD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 149 TOWNE LAKE PKWY STE 102
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City | WOODSTOCK
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State | GA
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Zip | 30188-4860
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Country | US
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Telephone | 770-928-4544
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Fax | 404-256-1981
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Provider Business Mailing Address
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Address Line | 5901A PEACHTREE DUNWOODY RD STE 500
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City | ATLANTA
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State | GA
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Zip | 30328-5341
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Country | US
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Telephone | 678-781-7373
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Fax | 678-538-1972
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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 | OPT002119
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License Number State | GA
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