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General NPI Number Information
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NPI Number | 1457717316
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Entity Type | Organization
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Legal Business Name | WINNIPESAUKEE EYE, PLLC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 950 N MAIN ST
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City | LACONIA
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State | NH
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Zip | 03246-2628
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Country | US
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Telephone | 603-524-5770
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Fax | 603-524-2424
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Provider Business Mailing Address
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Address Line | 950 N MAIN ST
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City | LACONIA
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State | NH
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Zip | 03246-2628
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Country | US
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Telephone | 603-524-5770
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Fax | 603-524-2424
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Authorized Official
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Title or Position | MEMBER, WINNIPESAUKEE EYE, PLLC
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Name | PAUL MCMANUS
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Credential |
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Telephone | 603-524-5770
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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 |
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License Number State |
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