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General NPI Number Information
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NPI Number | 1558577650
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Entity Type | Organization
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Legal Business Name | APPLETON EYE ASSOCIATES PC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 77 MAIN STREET
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City | AMESBURY
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State | MA
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Zip | 01913
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Country | US
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Telephone | 978-388-1060
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Fax | 978-388-2704
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Provider Business Mailing Address
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Address Line | 77 MAIN STREET
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City | AMESBURY
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State | MA
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Zip | 01913
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Country | US
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Telephone | 978-388-1060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN M. GASIOROWSKI
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Credential | OK
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Telephone | 978-465-8761
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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 | 3623
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | MA3623
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License Number State | MA
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