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General NPI Number Information
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NPI Number | 1164577649
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Entity Type | Organization
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Legal Business Name | ACUVISION EYECARE, INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 16 FAIRHAVEN COMMONS WAY
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City | FAIRHAVEN
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State | MA
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Zip | 02719-4627
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Country | US
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Telephone | 508-999-4401
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Fax | 508-992-3937
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Provider Business Mailing Address
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Address Line | 16 FAIRHAVEN COMMONS WAY
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City | FAIRHAVEN
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State | MA
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Zip | 02719-4627
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Country | US
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Telephone | 508-999-4401
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Fax | 508-992-3937
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Authorized Official
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Title or Position | OWNER
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Name | DR. TINA M PARKER
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Credential | O.D.
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Telephone | 508-999-4401
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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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