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General NPI Number Information
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NPI Number | 1235934274
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Entity Type | Organization
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Legal Business Name | KORNMEHL LASER EYE ASSOCIATES PC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 54 WASHINGTON ST
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-3208
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Country | US
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Telephone | 781-237-3366
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Fax | 781-237-6611
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Provider Business Mailing Address
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Address Line | 54 WASHINGTON ST
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City | WELLESLEY HILLS
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State | MA
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Zip | 02481-3208
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Country | US
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Telephone | 781-237-3366
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Fax | 781-237-6611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERNEST W KORNMEHL
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Credential | MD
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Telephone | 781-237-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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