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General NPI Number Information
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NPI Number | 1790789741
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES PC
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 172 CAMBRIDGE ST
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City | BURLINGTON
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State | MA
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Zip | 01803-2984
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Country | US
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Telephone | 781-272-4944
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Fax | 781-272-8756
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Provider Business Mailing Address
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Address Line | 172 CAMBRIDGE ST
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City | BURLINGTON
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State | MA
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Zip | 01803-2984
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Country | US
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Telephone | 781-272-4944
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Fax | 781-272-8756
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID S GENDELMAN
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Credential | MD
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Telephone | 781-272-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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