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General NPI Number Information
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NPI Number | 1134270770
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Entity Type | Individual
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Provider Name | RAYMOND THEODORE ESCHER O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 583 IYANNOUGH RD C/C CAPE OPTICIANS
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City | HYANNIS
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State | MA
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Zip | 02601-1929
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Country | US
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Telephone | 508-771-2205
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Fax | 508-778-1973
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Provider Business Mailing Address
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Address Line | 3708 MAIN ST
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City | BREWSTER
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State | MA
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Zip | 02631-1596
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Country | US
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Telephone | 508-771-2140
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Fax | 508-432-2020
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2283
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License Number State | MA
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