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General NPI Number Information
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NPI Number | 1598446684
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Entity Type | Organization
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Legal Business Name | LUNETTE CAMBRIDGE PC
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Dates
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Enumeration Date | 07/31/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 35 BRATTLE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-3709
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Country | US
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Telephone | 617-714-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 40 BEL AIR RD
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City | HINGHAM
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State | MA
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Zip | 02043-1241
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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 | DR. MICHELLE RAHIMIAN
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Credential |
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Telephone | 617-283-0640
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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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