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General NPI Number Information
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NPI Number | 1881065902
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Entity Type | Organization
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Legal Business Name | LEFEBVRE EYECARE LLC
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 5752 FRANTZ ROAD
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City | DUBLIN
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State | OH
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Zip | 43016
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Country | US
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Telephone | 614-396-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 5422 BERMUDA BAY DR APT 1A
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City | COLUMBUS
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State | OH
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Zip | 43235-7108
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Country | US
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Telephone | 614-354-0121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL R LEFEBVRE
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Credential | O.D.
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Telephone | 614-354-0121
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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 | 6095
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License Number State | OH
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