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General NPI Number Information
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NPI Number | 1629271168
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Entity Type | Organization
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Legal Business Name | SUSAN M. YEOMANS, M.D., P.C.
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 65 BOSTON POST RD W STE 250
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1878
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Country | US
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Telephone | 508-481-0815
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Fax | 508-481-0820
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Provider Business Mailing Address
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Address Line | 65 BOSTON POST RD W STE 250
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1878
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Country | US
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Telephone | 508-481-0815
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Fax | 508-481-0820
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SUSAN M YEOMANS
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Credential | MD
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Telephone | 508-481-0815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 59025
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License Number State | MA
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