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General NPI Number Information
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NPI Number | 1306021423
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Entity Type | Organization
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Legal Business Name | INFOCUS EYECARE, INC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 96 DANIEL WEBSTER HWY
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City | BELMONT
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State | NH
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Zip | 03220-3045
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Country | US
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Telephone | 603-527-2035
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Fax | 603-528-2021
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Provider Business Mailing Address
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Address Line | 96 DANIEL WEBSTER HWY
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City | BELMONT
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State | NH
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Zip | 03220-3045
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Country | US
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Telephone | 603-527-2035
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Fax | 603-528-2021
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SCOTT KRAUCHUNAS
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Credential | O.D., PH.D.
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Telephone | 603-527-2035
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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 | NH0781
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License Number State | NH
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