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General NPI Number Information
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NPI Number | 1659623056
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Entity Type | Individual
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Provider Name | LINDSEY DENISON MARTIN O.D
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 19202 STONE OAK PKWY STE 106
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3286
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Country | US
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Telephone | 210-495-9020
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Fax | 210-495-9398
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Provider Business Mailing Address
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Address Line | 810 KNIGHTS CROSS DR STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2981
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Country | US
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Telephone | 210-495-9020
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Fax | 210-495-9398
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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 | 8071
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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 | 8071TG
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License Number State | TX
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