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General NPI Number Information
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NPI Number | 1023896875
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Entity Type | Organization
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Legal Business Name | LOCALEYES OPTOMETRY
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 14 BOWEN ST
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City | CLAREMONT
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State | NH
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Zip | 03743-2329
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Country | US
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Telephone | 603-543-1843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 401
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City | NEWPORT
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State | NH
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Zip | 03773-0401
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Country | US
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Telephone | 603-680-1598
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DONNA MARTIN
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Credential |
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Telephone | 603-543-1843
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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 |
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License Number State |
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