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General NPI Number Information
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NPI Number | 1841437167
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Entity Type | Organization
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Legal Business Name | BC EYE CARE P.L.L.C.
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 270 LOUDON RD STE #2000
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City | CONCORD
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State | NH
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Zip | 03301-8005
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Country | US
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Telephone | 603-247-1598
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Fax |
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Provider Business Mailing Address
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Address Line | 30 BIRCH ST UNIT #1
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City | DERRY
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State | NH
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Zip | 03038-2120
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Country | US
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Telephone | 603-225-8305
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BAO CHE
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Credential | O.D.
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Telephone | 603-247-1598
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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 | 0774
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License Number State | NH
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