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General NPI Number Information
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NPI Number | 1659497782
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Entity Type | Individual
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Provider Name | LORRAINE LABIENTO SMITH OD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 344 BOSTON POST ROAD SUDBURY EYE CARE
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City | SUDBURY
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State | MA
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Zip | 01776
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Country | US
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Telephone | 978-443-3021
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Fax | 978-610-2620
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Provider Business Mailing Address
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Address Line | 344 BOSTON POST RD
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City | SUDBURY
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State | MA
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Zip | 01776-3007
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Country | US
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Telephone | 978-443-3021
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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 | 4334
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 4334
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License Number State | MA
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