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General NPI Number Information
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NPI Number | 1821125501
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Entity Type | Organization
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Legal Business Name | TAYLOR OPTICAL LLC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 545 HOOKSETT ROAD UNIT 23
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City | MANCHESTER
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State | NH
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Zip | 03104
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Country | US
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Telephone | 603-622-9491
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Fax | 603-627-4619
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Provider Business Mailing Address
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Address Line | 545 HOOKSETT ROAD UNIT 23
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City | MANCHESTER
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State | NH
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Zip | 03104
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Country | US
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Telephone | 603-622-6333
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Fax | 603-627-4619
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Authorized Official
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Title or Position | OWNER
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Name | DR. EUGENE SHELDON BAYLUS
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Credential | OPTOMETRIST
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Telephone | 603-622-9491
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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 | 0595
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 310
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License Number State | NH
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