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General NPI Number Information
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NPI Number | 1629141668
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Entity Type | Organization
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Legal Business Name | EYEWEAR BY GIORGIO
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 60 CHELMSFORD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-3099
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Country | US
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Telephone | 978-256-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 60 CHELMSFORD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-3099
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Country | US
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Telephone | 978-256-6500
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Fax |
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Authorized Official
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Title or Position | OPTICIAN
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Name | MR. GIORGIO BRUNO SCIORTINO
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Credential |
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Telephone | 978-256-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MA
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