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NPI 1639138696

NPI 1639138696 : JANE ORENSTEIN OD : WHITINSVILLE, MA

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General NPI Number Information
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    NPI Number           |    1639138696
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    Entity Type          |    Individual 
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    Provider Name        |    JANE ORENSTEIN OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/20/2006
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    Last Update Date     |    03/24/2009
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Provider Practice Location Address
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    Address Line         |    999 PROVIDENCE RD 
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    City                 |    WHITINSVILLE
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    State                |    MA
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    Zip                  |    01588
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    Country              |    US
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    Telephone            |    508-234-6681
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    Fax                  |    508-234-6507
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Provider Business Mailing Address
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    Address Line         |    999 PROVIDENCE RD 
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    City                 |    WHITINSVILLE
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    State                |    MA
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    Zip                  |    01588
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    Country              |    US
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    Telephone            |    508-234-6681
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    Fax                  |    508-234-6507
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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       |    2700
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    License Number State |    MA
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