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General NPI Number Information
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NPI Number | 1730214552
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Entity Type | Organization
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Legal Business Name | DR SHELDON STRAUSS
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 675 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02170-2826
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Country | US
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Telephone | 617-471-2300
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Fax | 617-471-0722
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Provider Business Mailing Address
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Address Line | 675 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02170-2826
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Country | US
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Telephone | 617-471-2300
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Fax | 617-471-0722
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Authorized Official
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Title or Position | OWNER
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Name | SHELDON STRAUSS
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Credential | OD
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Telephone | 617-471-2300
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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 | 2085
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License Number State | MA
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