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General NPI Number Information
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NPI Number | 1720021967
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Entity Type | Individual
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Provider Name | LONGLEY LYNN PARKER O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 600 S SAINT VRAIN AVE #5
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City | ESTES PARK
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State | CO
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Zip | 80517-7488
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Country | US
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Telephone | 970-586-4418
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Fax | 970-586-0363
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Provider Business Mailing Address
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Address Line | 600 S SAINT VRAIN AVE #5
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City | ESTES PARK
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State | CO
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Zip | 80517-7488
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Country | US
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Telephone | 970-586-4418
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Fax | 970-586-0363
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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 | CO2195
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License Number State | CO
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