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General NPI Number Information
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NPI Number | 1922959618
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Entity Type | Organization
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Legal Business Name | ANHTHY PRENDEVILLE OD LLC
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 200 LINDEN ST UNIT K1
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City | WELLESLEY
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State | MA
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Zip | 02482-7964
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Country | US
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Telephone | 781-705-9779
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Fax | 781-705-9886
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Provider Business Mailing Address
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Address Line | 26 OAK KNOLL RD
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City | CARLISLE
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State | MA
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Zip | 01741-1231
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANHTHY PRENDEVILLE
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Credential | OD
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Telephone | 314-368-9155
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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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