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General NPI Number Information
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NPI Number | 1790862183
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Entity Type | Organization
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Legal Business Name | CATARACT AND LASER CENTER OF THE NORTH SHORE, LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 349 N MAIN ST
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City | ANDOVER
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State | MA
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Zip | 01810-2687
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Country | US
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Telephone | 978-475-0959
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Fax | 978-475-1769
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Provider Business Mailing Address
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Address Line | 349 N MAIN ST
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City | ANDOVER
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State | MA
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Zip | 01810-2687
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Country | US
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Telephone | 978-475-0959
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Fax | 978-475-1769
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Authorized Official
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Title or Position | RN/ NURSE MANAGER
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Name | MS. HOLLY PHILLIPS
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Credential |
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Telephone | 978-475-0959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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