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General NPI Number Information
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NPI Number | 1275676223
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Entity Type | Organization
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Legal Business Name | BARBAN EYE ASSOCIATES ,PC AND OPTICAL
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 249 COUNTY RD NEW LONDON MEDICAL CENTER, SUITE 204
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City | NEW LONDON
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State | NH
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Zip | 03257
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Country | US
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Telephone | 603-526-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 249 COUNTY RD NEW LONDON MEDICAL CENTER, SUITE 204
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City | NEW LONDON
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State | NH
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Zip | 03257
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Country | US
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Telephone | 603-526-2020
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Fax |
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Authorized Official
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Title or Position | PATIENT/INSURANCE BILLING
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Name | MRS. DONNA PERREAULT
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Credential |
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Telephone | 603-526-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5842
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License Number State | NH
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