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General NPI Number Information
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NPI Number | 1255440467
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Entity Type | Individual
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Provider Name | PAUL K ALBERT O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 125 OAK ST
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City | ELLSWORTH
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State | ME
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Zip | 04605-1650
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Country | US
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Telephone | 207-667-4237
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Fax | 207-667-0390
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Provider Business Mailing Address
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Address Line | 278 BANGOR RD
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City | ELLSWORTH
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State | ME
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Zip | 04605-3259
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Country | US
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Telephone | 207-667-0757
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OPT717
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License Number State | ME
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