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General NPI Number Information
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NPI Number | 1982616819
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Entity Type | Individual
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Provider Name | DANA LAWRENCE MCCURDY O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 VA CTR TOGUS VA MEDICAL CENTER
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City | AUGUSTA
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State | ME
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Zip | 04330-6719
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Country | US
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Telephone | 187-742-1826
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SHERIDAN RD
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City | BATH
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State | ME
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Zip | 04530-2124
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Country | US
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Telephone | 207-443-6337
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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 | OPT489
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License Number State | ME
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