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General NPI Number Information
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NPI Number | 1770918963
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Entity Type | Individual
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Provider Name | JOSEPH SARMENTO SILVA O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | 64 BOYDEN RD
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City | HOLDEN
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State | MA
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Zip | 01520-2570
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Country | US
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Telephone | 508-856-9599
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Fax | 508-829-4988
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Provider Business Mailing Address
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Address Line | 5 NEPONSET ST WOT 2ND FL
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City | WORCESTER
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State | MA
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Zip | 01606-2714
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Country | US
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Telephone | 508-856-9599
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Fax | 508-854-4998
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OEG002783
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4972
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License Number State | MA
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