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General NPI Number Information
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NPI Number | 1225287683
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Entity Type | Organization
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Legal Business Name | EYE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 06/24/2013
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Provider Practice Location Address
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Address Line | 1 COMPASS WAY SUITE 100
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City | EAST BRIDGEWATER
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State | MA
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Zip | 02333-1465
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Country | US
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Telephone | 877-331-3937
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Fax | 508-350-2813
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Provider Business Mailing Address
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Address Line | 1900 CROWN COLONY DR SUITE 301
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City | QUINCY
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State | MA
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Zip | 02169-0979
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Country | US
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Telephone | 617-472-5242
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Fax | 617-770-2975
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Authorized Official
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Title or Position | CLERK
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Name | DR. PAUL J WASSON
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Credential | M.D.
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Telephone | 617-472-5242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 4295
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License Number State | MA
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Taxonomy #2
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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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