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General NPI Number Information
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NPI Number | 1700037629
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Entity Type | Organization
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Legal Business Name | RANDALL C LAMBIRTH II OD & ASSOCIATES PSC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 161 LEXINGTON GREEN CIR SUITE B6
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City | LEXINGTON
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State | KY
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Zip | 40503-3325
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Country | US
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Telephone | 859-271-6194
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Fax | 859-271-4399
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Provider Business Mailing Address
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Address Line | 161 LEXINGTON GREEN CIR SUITE B6
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City | LEXINGTON
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State | KY
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Zip | 40503-3325
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Country | US
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Telephone | 859-271-6194
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Fax | 859-271-4399
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Authorized Official
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Title or Position | CORPORATION DIRECTOR
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Name | DR. RANDALL C LAMBIRTH II
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Credential | OD
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Telephone | 859-271-6194
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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 | 1485DT
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License Number State | KY
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