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General NPI Number Information
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NPI Number | 1235169475
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Entity Type | Organization
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Legal Business Name | THOMAS F SCADOVA PLLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 451 AMHERST ST SUITE 101
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City | NASHUA
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State | NH
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Zip | 03063-1200
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Country | US
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Telephone | 603-882-4221
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Fax | 603-886-5105
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Provider Business Mailing Address
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Address Line | 451 AMHERST ST SUITE 101
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City | NASHUA
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State | NH
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Zip | 03063-1200
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Country | US
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Telephone | 603-882-4221
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Fax | 603-886-5105
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. THOMAS F SCADOVA
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Credential | OD
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Telephone | 603-882-4221
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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 | NH0406
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License Number State | NH
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