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General NPI Number Information
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NPI Number | 1477602910
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Entity Type | Organization
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Legal Business Name | ERIC A. STAFFIER, OD, PC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 GALLERIA MALL DR
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City | TAUNTON
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State | MA
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Zip | 02780-6913
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Country | US
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Telephone | 508-824-3208
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Fax |
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Provider Business Mailing Address
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Address Line | 2 GALLERIA MALL DR
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City | TAUNTON
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State | MA
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Zip | 02780-6913
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Country | US
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Telephone | 508-824-3208
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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. ERIC ANDREW STAFFIER
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Credential | O.D.
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Telephone | 508-824-3208
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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 | 4332
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License Number State | MA
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