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General NPI Number Information
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NPI Number | 1467675033
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Entity Type | Organization
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Legal Business Name | DR JOHN E CALLINAN OD PC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 149 CONCORD STREET 5 ARCADE
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-875-7662
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Fax | 508-875-7662
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Provider Business Mailing Address
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Address Line | 149 CONCORD STREET 5 ARCADE
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City | FRAMINGHAM
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State | MA
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Zip | 01702
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Country | US
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Telephone | 508-875-7662
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Fax | 508-875-7662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN E CALLINAN
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Credential | OD
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Telephone | 508-875-7662
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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 | OD2111
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License Number State | MA
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