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General NPI Number Information
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NPI Number | 1760578181
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Entity Type | Organization
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Legal Business Name | CUMBERLAND FAMILY EYE CARE, LTD.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 248 BROAD ST
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City | CUMBERLAND
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State | RI
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Zip | 02864-8134
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Country | US
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Telephone | 401-726-2929
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Fax | 401-729-1054
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Provider Business Mailing Address
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Address Line | 248 BROAD ST
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City | CUMBERLAND
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State | RI
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Zip | 02864-8134
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Country | US
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Telephone | 401-726-2929
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Fax | 401-729-1054
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Authorized Official
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Title or Position | TREASURER
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Name | DR. STEVEN W. SANTOS
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Credential | O.D.
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Telephone | 401-726-2929
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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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