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General NPI Number Information
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NPI Number | 1508527037
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Entity Type | Organization
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Legal Business Name | RIOUX EYE CENTER, INC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 489 BERNARDSTON RD STE 101
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City | GREENFIELD
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State | MA
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Zip | 01301-1239
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Country | US
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Telephone | 413-775-9900
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Fax | 413-775-9922
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Provider Business Mailing Address
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Address Line | 489 BERNARDSTON RD STE 101
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City | GREENFIELD
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State | MA
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Zip | 01301-1239
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Country | US
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Telephone | 413-775-9900
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Fax | 413-775-9922
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Authorized Official
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Title or Position | MANAGER
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Name | NICOLE M MULLARKEY
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Credential |
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Telephone | 413-454-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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