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General NPI Number Information
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NPI Number | 1699817783
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Entity Type | Organization
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Legal Business Name | DR JAMES PIALTOS OPTOMETRIST
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 12 CROSS ST
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City | WHITINSVILLE
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State | MA
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Zip | 01588-2304
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Country | US
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Telephone | 508-234-7935
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Fax |
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Provider Business Mailing Address
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Address Line | 103 ELM ST
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City | MILLBURY
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State | MA
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Zip | 01527-2601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES PIALTOS
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Credential | OD
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Telephone | 508-865-9951
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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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