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General NPI Number Information
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NPI Number | 1992023006
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Entity Type | Organization
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Legal Business Name | LUCY PICKERING OD LLC
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 126 FRANKLIN ST
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City | DUBLIN
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State | OH
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Zip | 43017-1105
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Country | US
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Telephone | 614-395-2957
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Fax |
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Provider Business Mailing Address
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Address Line | 126 FRANKLIN ST
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City | DUBLIN
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State | OH
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Zip | 43017-1105
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Country | US
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Telephone | 614-395-2957
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | LUCY PICKERING
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Credential | OD
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Telephone | 614-395-2957
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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 | 5671
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License Number State | OH
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