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General NPI Number Information
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NPI Number | 1578182192
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Entity Type | Individual
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Provider Name | ZACHARY W. SOUSA OD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 15 HIGHLAND AVE
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City | SEEKONK
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State | MA
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Zip | 02771-5805
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Country | US
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Telephone | 508-336-4096
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Fax |
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Provider Business Mailing Address
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Address Line | 129 HASKELL ST # 1
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City | FALL RIVER
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State | MA
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Zip | 02720-4512
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Country | US
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Telephone | 508-493-5494
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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 | 5404
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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 | ODTG00700
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License Number State | RI
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