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General NPI Number Information
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NPI Number | 1689850364
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Entity Type | Organization
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Legal Business Name | DR. LINDA LIPSTEIN, O.D., LLC
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Dates
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Enumeration Date | 01/13/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 1510 W MAIN ST VISION CENTER
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City | STERLING
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State | CO
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Zip | 80751-9095
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Country | US
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Telephone | 970-672-4452
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 W MAIN ST VISION CENTER
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City | STERLING
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State | CO
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Zip | 80751-9095
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Country | US
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Telephone | 970-672-4452
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. LINDA LIPSTEIN
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Credential | OD
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Telephone | 970-672-4452
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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 | CO1936
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License Number State | CO
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