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General NPI Number Information
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NPI Number | 1477876720
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Entity Type | Organization
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Legal Business Name | L.M. BIONDI OPTICAL, LLC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 310 DANIEL WEBSTER HWY PHESANT LANE MALL
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City | NASHUA
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State | NH
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Zip | 03060-5730
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Country | US
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Telephone | 603-888-6500
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Fax | 603-888-1514
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Provider Business Mailing Address
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Address Line | 310 DANIEL WEBSTER HWY PHESANT LANE MALL
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City | NASHUA
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State | NH
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Zip | 03060-5730
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Country | US
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Telephone | 603-888-6500
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Fax | 603-888-1514
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LOUIS M BIONDI
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Credential |
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Telephone | 603-888-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 3232
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License Number State | MA
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