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General NPI Number Information
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NPI Number | 1780689067
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Entity Type | Individual
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Provider Name | DANA LYDELL DAY O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 301 S FENWAY ST STE 102
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City | CASPER
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State | WY
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Zip | 82601-3049
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Country | US
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Telephone | 307-235-5384
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Fax | 307-265-7500
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Provider Business Mailing Address
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Address Line | 301 S FENWAY ST STE 102
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City | CASPER
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State | WY
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Zip | 82601-3049
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Country | US
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Telephone | 307-235-5384
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Fax | 307-265-7500
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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 | 260T
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License Number State | WY
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