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General NPI Number Information
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NPI Number | 1144115064
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Entity Type | Organization
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Legal Business Name | WESTBOROUGH SPECTACLE SHOPPE
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4 W MAIN ST
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1902
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Country | US
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Telephone | 508-366-8534
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Fax | 508-898-2567
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Provider Business Mailing Address
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Address Line | 4 W MAIN ST
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1902
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Country | US
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Telephone | 508-366-8534
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Fax | 508-898-2567
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Authorized Official
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Title or Position | OPTICIAN
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Name | TAMMY VILELA
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Credential | LDO
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Telephone | 508-366-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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