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General NPI Number Information
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NPI Number | 1740062330
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Entity Type | Organization
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Legal Business Name | TWO LITTLE WINDOWS LLC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 7101 DEMOCRACY BLVD STE 1800
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City | BETHESDA
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State | MD
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Zip | 20817-1018
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Country | US
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Telephone | 301-365-3682
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 DEMOCRACY BLVD STE 1800
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City | BETHESDA
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State | MD
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Zip | 20817-1018
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Country | US
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Telephone | 301-365-3682
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LANCE MCNAUGHTON
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Credential | OD
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Telephone | 714-272-7480
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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 |
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License Number State |
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