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General NPI Number Information
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NPI Number | 1649203159
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Entity Type | Organization
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Legal Business Name | JAMES R. EAKIN O.D. PLLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 366 UNION AVE
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City | LACONIA
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State | NH
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Zip | 03246-2812
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Country | US
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Telephone | 603-524-3085
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Fax | 603-524-2789
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Provider Business Mailing Address
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Address Line | PO BOX 1325
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City | LACONIA
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State | NH
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Zip | 03247-1325
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Country | US
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Telephone | 603-524-3085
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Fax | 603-524-2789
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JAMES R. EAKIN
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Credential | O.D.
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Telephone | 603-524-3085
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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 | 257
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License Number State | NH
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