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General NPI Number Information
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NPI Number | 1659584027
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Entity Type | Organization
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Legal Business Name | DAVID M LURIA OD PC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 12 ELIOT ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5706
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Country | US
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Telephone | 617-354-3310
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Fax | 617-354-3290
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Provider Business Mailing Address
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Address Line | 12 ELIOT ST
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5706
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Country | US
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Telephone | 508-837-3790
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Fax | 617-354-3290
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Authorized Official
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Title or Position | OWNER
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Name | DAVID M LURIA
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Credential | OD
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Telephone | 508-837-3790
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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 |
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License Number State |
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