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General NPI Number Information
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NPI Number | 1639182561
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Entity Type | Organization
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Legal Business Name | LANGE EYE CARE & ASSOCIATES PA
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 11834 COUNTY ROAD 101
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City | THE VILLAGES
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State | FL
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Zip | 32162-9340
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Country | US
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Telephone | 352-753-4014
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Fax | 844-272-7134
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Provider Business Mailing Address
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Address Line | 3101 SW COLLEGE RD
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City | OCALA
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State | FL
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Zip | 34474-8459
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Country | US
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Telephone | 352-237-1566
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Fax | 352-237-0561
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL LANGE
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Credential | OD
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Telephone | 352-753-4014
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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 | OP2631
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License Number State | FL
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