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General NPI Number Information
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NPI Number | 1174761480
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Entity Type | Organization
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Legal Business Name | DR. ANTOINETTE D. PARVIS, PC
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 216 MAIN ST
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City | OXFORD
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State | MA
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Zip | 01540-3310
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Country | US
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Telephone | 508-987-3237
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Fax | 508-987-0494
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Provider Business Mailing Address
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Address Line | 216 MAIN ST
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City | OXFORD
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State | MA
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Zip | 01540-3310
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Country | US
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Telephone | 508-987-3237
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Fax | 508-987-0494
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTOINETTE DOMENICA PARVIS
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Credential | O.D.
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Telephone | 508-987-3237
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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 | 3698-TP
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License Number State | MA
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