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General NPI Number Information
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NPI Number | 1760528962
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Entity Type | Organization
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Legal Business Name | OPHTHALMOLOGY INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 150 E MANNING ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-5109
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Country | US
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Telephone | 401-272-2020
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Fax | 401-421-5979
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Provider Business Mailing Address
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Address Line | 235 HANOVER ST SUITE 201
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City | FALL RIVER
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State | MA
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Zip | 02720-5246
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Country | US
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Telephone | 508-679-0150
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Fax | 508-324-9085
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | MRS. GAIL P DUELL
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Credential | CPC
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Telephone | 401-272-2020
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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 |
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License Number State |
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