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General NPI Number Information
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NPI Number | 1417442948
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Entity Type | Organization
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Legal Business Name | SEE YOUR BEST EYE CARE PLLC
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 545 HOOKSETT RD UNIT 23
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City | MANCHESTER
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State | NH
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Zip | 03104-2654
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Country | US
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Telephone | 603-953-3951
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Fax |
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Provider Business Mailing Address
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Address Line | 108 COCHECO ST
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City | DOVER
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State | NH
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Zip | 03820-3506
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Country | US
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Telephone | 603-953-3951
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | WENDY KATHLEEN CRUSBERG
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Credential | OD
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Telephone | 603-953-3951
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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 | 0840
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License Number State | NH
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