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General NPI Number Information
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NPI Number | 1619665437
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Entity Type | Organization
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Legal Business Name | ATCHUE OPTICIANS, LLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 1464 GRAFTON ROAD
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City | MILBURY
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State | MA
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Zip | 01527
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Country | US
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Telephone | 508-755-5253
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Fax | 508-754-4659
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Provider Business Mailing Address
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Address Line | 1464 GRAFTON ROAD
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City | MILBURY
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State | MA
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Zip | 01527
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Country | US
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Telephone | 508-755-5253
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Fax | 508-754-4659
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Authorized Official
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Title or Position | MEMBER
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Name | MR. CHARLES J ATCHUE
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Credential | RDO
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Telephone | 508-755-5253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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