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General NPI Number Information
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NPI Number | 1538226170
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Entity Type | Individual
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Provider Name | JOSEPH VINCENT PAPANDREA OD
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9 SUTTON AVE
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City | OXFORD
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State | MA
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Zip | 01540-1738
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Country | US
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Telephone | 508-987-2018
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HEMLOCK ST
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City | PAXTON
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State | MA
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Zip | 01612-1270
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Country | US
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Telephone | 508-755-9890
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3074
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License Number State | MA
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