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General NPI Number Information
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NPI Number | 1043457518
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Entity Type | Organization
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Legal Business Name | LAFRENIERE EYECARE, PA
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 13 JENKINS CT
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City | DURHAM
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State | NH
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Zip | 03824-2340
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Country | US
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Telephone | 603-868-2900
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Fax | 603-692-2078
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Provider Business Mailing Address
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Address Line | 13 JENKINS CT
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City | DURHAM
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State | NH
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Zip | 03824-2340
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Country | US
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Telephone | 603-868-2900
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Fax | 603-692-2078
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DONNA ADRIAN LAFRENIERE
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Credential |
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Telephone | 603-868-2900
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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 | 556
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License Number State | NH
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