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General NPI Number Information
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NPI Number | 1205137247
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Entity Type | Organization
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Legal Business Name | KEM OPTICAL P.C.
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 83 B FAUNCE CORNER ROAD
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747
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Country | US
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Telephone | 508-997-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 83 B FAUNCE CORNER RD
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City | NORTH DARTMOUTH
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State | MA
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Zip | 02747-0000
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Country | US
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Telephone | 508-287-2220
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | KATE MARMELO
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Credential | O.D.
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Telephone | 508-997-6591
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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 | 4444
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License Number State | MA
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