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General NPI Number Information
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NPI Number | 1356563886
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Entity Type | Organization
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Legal Business Name | BARBAN EYE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 249 COUNTY RD SUITE 204
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City | NEW LONDON
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State | NH
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Zip | 03257-5795
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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 SUITE 204
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City | NEW LONDON
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State | NH
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Zip | 03257-5795
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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 | PRESIDENT
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Name | DR. GREG M BARBAN
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Credential | M.D.
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 5842
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License Number State | NH
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