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General NPI Number Information
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NPI Number | 1366718462
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Entity Type | Organization
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Legal Business Name | ANNA CRESSEY OD, LLC
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 68 CENTRAL STREET
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City | WELLESLEY
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State | MA
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Zip | 02482-5806
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Country | US
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Telephone | 207-577-6385
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Fax | 781-239-1010
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Provider Business Mailing Address
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Address Line | 3 WEST AVE
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City | HUDSON
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State | MA
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Zip | 01749-3018
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Country | US
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Telephone | 207-577-6385
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Fax | 781-239-1010
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Authorized Official
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Title or Position | BILLING
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Name | CHRISTINE SOARES
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Credential |
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Telephone | 508-679-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 4744
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License Number State | MA
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