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General NPI Number Information
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NPI Number | 1700540705
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Entity Type | Organization
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Legal Business Name | MORIN EYE CARE, P.C.
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 7 HADLEY ST STE 1
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-1058
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Country | US
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Telephone | 413-536-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 23 ROCKY HILL RD
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City | HADLEY
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State | MA
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Zip | 01035-9796
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Country | US
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Telephone | 413-626-4971
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA MARQUES MORIN
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Credential | OD
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Telephone | 413-626-4971
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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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