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General NPI Number Information
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NPI Number | 1508899287
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Entity Type | Organization
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Legal Business Name | NUTFIELD OPHTHALMOLOGY, PC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 3 ORCHARD VIEW DR
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City | LONDONDERRY
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State | NH
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Zip | 03053-6606
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Country | US
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Telephone | 603-421-0022
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Fax | 603-421-0259
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Provider Business Mailing Address
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Address Line | 3 ORCHARD VIEW DR
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City | LONDONDERRY
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State | NH
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Zip | 03053-6606
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Country | US
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Telephone | 603-421-0022
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Fax | 603-421-0259
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | ELIZABETH COCOZZA
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Credential |
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Telephone | 603-434-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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