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General NPI Number Information
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NPI Number | 1740596915
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Entity Type | Organization
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Legal Business Name | EYESPOT, LLC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 05/18/2011
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Provider Practice Location Address
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Address Line | 1 BOYLSTON ST SUITE 3D
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-1719
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Country | US
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Telephone | 617-650-4324
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BOYLSTON ST SUITE 3D
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-1719
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Country | US
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Telephone | 617-650-4324
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORGE GUILLERMO ARROYO
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Credential | MD
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Telephone | 617-650-4324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 154668
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License Number State | MA
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