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General NPI Number Information
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NPI Number | 1083731442
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Entity Type | Organization
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Legal Business Name | ATTLEBORO OPHTHALMOLOGICAL ASSOCIATES INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 174 PLEASANT ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-2441
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Country | US
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Telephone | 508-226-1809
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Fax | 508-226-4228
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Provider Business Mailing Address
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Address Line | 174 PLEASANT ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-2441
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Country | US
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Telephone | 508-226-1809
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Fax | 508-226-4228
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER MARTIN FAY
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Credential | M.D.
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Telephone | 508-226-1809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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