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General NPI Number Information
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NPI Number | 1689670887
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Entity Type | Individual
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Provider Name | TODD JAMES LUMSDEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 64 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-334-5265
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Fax | 573-334-3648
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Provider Business Mailing Address
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Address Line | 360 S MOUNT AUBURN RD
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4920
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Country | US
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Telephone | 573-335-3577
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Fax | 573-335-1559
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 112497
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License Number State | MO
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