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General NPI Number Information
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NPI Number | 1598850869
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Entity Type | Individual
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Provider Name | RALPH W. EAVES O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 1422 WASHINGTON STREET
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City | HANOVER
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State | MA
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Zip | 02339
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Country | US
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Telephone | 781-826-8393
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Fax |
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Provider Business Mailing Address
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Address Line | 9 FORDS CROSSING
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City | NORWELL
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State | MA
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Zip | 02061
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Country | US
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Telephone | 781-659-1853
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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 | MA3123
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License Number State | MA
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