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General NPI Number Information
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NPI Number | 1861544041
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Entity Type | Organization
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Legal Business Name | PARRELLI OPTICAL, LLC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 35 ELM ST
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City | DANVERS
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State | MA
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Zip | 01923-2835
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Country | US
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Telephone | 978-777-0379
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Fax |
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Provider Business Mailing Address
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Address Line | 35 ELM ST
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City | DANVERS
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State | MA
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Zip | 01923-2835
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Country | US
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Telephone | 978-777-0379
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. JONATHAN PARRELLI
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Credential | RDO
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Telephone | 978-777-0379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 332H00000X
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License Number State | MA
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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 | 156FX1800X
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License Number State | MA
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