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General NPI Number Information
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NPI Number | 1740386259
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Entity Type | Organization
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Legal Business Name | TORRINGTON VISION CLINIC, P.C.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 1418 E M ST
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City | TORRINGTON
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State | WY
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Zip | 82240-3533
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Country | US
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Telephone | 307-532-4114
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Fax | 307-532-7658
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Provider Business Mailing Address
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Address Line | 1418 E M ST
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City | TORRINGTON
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State | WY
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Zip | 82240-3533
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Country | US
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Telephone | 307-532-4114
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Fax | 307-532-7658
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LYNDA LEA JONES
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Credential | O.D.
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Telephone | 307-532-4114
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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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