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General NPI Number Information
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NPI Number | 1275009284
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Entity Type | Organization
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Legal Business Name | APPLETON EYE ASSOCIATES P.C.
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 28 BAY RD
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City | SOUTH HAMILTON
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State | MA
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Zip | 01982-2202
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 39 GREEN ST
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City | NEWBURYPORT
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State | MA
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Zip | 01950-2652
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DEBORAH ANN GALLANT
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Credential |
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Telephone | 978-465-8761
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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 |
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License Number State |
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