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General NPI Number Information
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NPI Number | 1215119169
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Entity Type | Organization
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Legal Business Name | SPECIALTY EYE GROUP PC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 32 DAY ST
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City | NORWOOD
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State | MA
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Zip | 02062
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Country | US
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Telephone | 781-610-6210
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Fax | 781-769-2850
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Provider Business Mailing Address
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Address Line | 32 DAY ST
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City | NORWOOD
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State | MA
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Zip | 02062
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Country | US
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Telephone | 781-610-6210
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Fax | 781-769-2850
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. GEORGE TANNOUS FRANGIEH
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Credential | MD, FACS
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Telephone | 781-910-6210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 58094
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License Number State | MA
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