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General NPI Number Information
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NPI Number | 1780694638
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND EYE CONSULTANTS, INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 COMMERCIAL ROAD
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City | LEOMINSTER
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State | MA
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Zip | 01453
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Country | US
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Telephone | 978-563-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CALVINS LN
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City | STERLING
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State | MA
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Zip | 01564
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Country | US
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Telephone | 978-563-1600
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. NAHALL M LARSEN
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Credential | O.D.
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Telephone | 978-534-5148
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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 | 3991
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License Number State | MA
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