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General NPI Number Information
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NPI Number | 1114422425
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Entity Type | Organization
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Legal Business Name | DR. DAVID A MCQUEEN & ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 1070 IYANNOUGH RD
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City | HYANNIS
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State | MA
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Zip | 02601-1871
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Country | US
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Telephone | 508-771-9701
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Fax | 508-778-6663
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Provider Business Mailing Address
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Address Line | 1070 IYANNOUGH RD
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City | HYANNIS
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State | MA
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Zip | 02601-1871
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Country | US
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Telephone | 508-771-9701
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Fax | 508-778-6663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID A MCQUEEN
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Credential | OD
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Telephone | 508-771-9701
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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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