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General NPI Number Information
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NPI Number | 1699902437
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Entity Type | Individual
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Provider Name | MR. GIORGIO BRUNO SCIORTINO
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Gender | Male
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 60 CHELMSFORD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-3099
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Country | US
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Telephone | 978-256-6500
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Fax | 978-256-6565
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Provider Business Mailing Address
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Address Line | 60 CHELMSFORD ST
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City | CHELMSFORD
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State | MA
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Zip | 01824-3099
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Country | US
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Telephone | 978-256-6500
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Fax | 978-256-6565
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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 | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 1873
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License Number State | MA
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