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General NPI Number Information
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NPI Number | 1588094551
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Entity Type | Organization
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Legal Business Name | OPTOMETRIC PROVIDERS OF NEW HAMPSHIRE, PLLC
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 310 DANIEL WEBSTER HWY # A201A
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City | NASHUA
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State | NH
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Zip | 03060-5730
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Country | US
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Telephone | 201-524-6982
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29907
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City | NEW YORK
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State | NY
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Zip | 10087-9907
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RANDI FRANKL
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Credential |
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Telephone | 516-815-1646
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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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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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