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General NPI Number Information
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NPI Number | 1568116366
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Entity Type | Organization
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Legal Business Name | RAINBOW EYE CARE LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 181 PLAIN ST
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City | LOWELL
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State | MA
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Zip | 01852-5165
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Country | US
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Telephone | 978-275-9254
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Fax |
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Provider Business Mailing Address
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Address Line | 208 WINTHROP RD APT 2
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City | BROOKLINE
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State | MA
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Zip | 02445-4415
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Country | US
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Telephone | 617-435-8589
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JIANYAN HUANG
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Credential |
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Telephone | 617-435-8589
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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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