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General NPI Number Information
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NPI Number | 1942225032
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Entity Type | Individual
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Provider Name | LYNN ALLYSON MEYER O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 701 W 5TH AVE
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City | GARY
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State | IN
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Zip | 46402-1807
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Country | US
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Telephone | 219-881-0655
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Fax |
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Provider Business Mailing Address
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Address Line | 3604 N GREENVIEW AVE APT 1
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City | CHICAGO
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State | IL
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Zip | 60613-3608
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Country | US
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Telephone | 773-640-6266
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Fax |
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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 | 18003157
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License Number State | IN
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Taxonomy #2
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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 | IL
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