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General NPI Number Information
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NPI Number | 1962586594
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Entity Type | Organization
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Legal Business Name | ANTHONY N SACCO OD PC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 21 GREEN STREET
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 603-224-0971
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Fax | 603-224-8349
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Provider Business Mailing Address
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Address Line | 21 GREEN ST STE 1
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City | CONCORD
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State | NH
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Zip | 03301-4000
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Country | US
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Telephone | 603-224-0971
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Fax | 603-224-8349
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. ANTHONY N SACCO
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Credential | OD
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Telephone | 603-224-0971
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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 | 461
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License Number State | NH
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