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NPI 1790813020

NPI 1790813020 : HAMDEN EYE ASSOCIATES, P.C : YALESVILLE, CT

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General NPI Number Information
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    NPI Number           |    1790813020
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAMDEN EYE ASSOCIATES, P.C 
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Dates
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    Enumeration Date     |    02/28/2007
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    Last Update Date     |    06/04/2008
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Provider Practice Location Address
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    Address Line         |    314 MAIN ST 
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    City                 |    YALESVILLE
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    State                |    CT
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    Zip                  |    06492-2265
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    Country              |    US
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    Telephone            |    203-269-3000
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    Fax                  |    203-288-5679
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Provider Business Mailing Address
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    Address Line         |    314 MAIN ST 
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    City                 |    YALESVILLE
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    State                |    CT
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    Zip                  |    06492-2265
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    Country              |    US
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    Telephone            |    203-269-3000
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    Fax                  |    203-288-5679
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JAMES DAVID WESTON 
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    Credential           |    O.D.
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    Telephone            |    203-269-3000
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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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