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General NPI Number Information
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NPI Number | 1548530421
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Entity Type | Organization
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Legal Business Name | NEWTON EYE CARE, LLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 1157 WALNUT ST
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City | NEWTON
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State | MA
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Zip | 02461-1242
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Country | US
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Telephone | 617-721-1938
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Fax | 617-323-1419
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Provider Business Mailing Address
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Address Line | 31 ANAWAN AVE
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1237
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Country | US
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Telephone | 617-721-1938
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Fax | 617-323-1419
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Authorized Official
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Title or Position | OWNER
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Name | QIAOMEI CHENG
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Credential |
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Telephone | 617-721-1938
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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 |
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License Number State |
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