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General NPI Number Information
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NPI Number | 1306929187
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Entity Type | Individual
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Provider Name | GERALD CHASKELSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 119 NEW ATHOL RD
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City | ORANGE
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State | MA
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Zip | 01364-9603
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Country | US
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Telephone | 978-249-6308
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Fax |
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Provider Business Mailing Address
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Address Line | 236 NICHOLAS DRIVE
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City | LANCASTER
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State | MA
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Zip | 01523
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Country | US
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Telephone | 978-368-1998
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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 | 2213
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License Number State | MA
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