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General NPI Number Information
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NPI Number | 1134850787
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Entity Type | Organization
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Legal Business Name | APEX EYECARE
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 120 LACONIA RD STE 132
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City | TILTON
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State | NH
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Zip | 03276-5236
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Country | US
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Telephone | 603-729-0237
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Fax | 603-729-0327
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Provider Business Mailing Address
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Address Line | 66 LANDING LN UNIT 105
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City | LACONIA
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State | NH
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Zip | 03246-3384
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Country | US
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Telephone | 603-455-1007
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DEIDRE CULLEN
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Credential | OD
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Telephone | 603-729-0237
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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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