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General NPI Number Information
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NPI Number | 1992668529
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Entity Type | Organization
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Legal Business Name | WALNUT VISION CARE NH PC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2454 LAFAYETTE RD STE 29
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5619
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Country | US
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Telephone | 855-550-0743
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Fax |
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Provider Business Mailing Address
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Address Line | 233 SPRING ST
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City | NEW YORK
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State | NY
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Zip | 10013-1522
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Country | US
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Telephone | 855-550-0743
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | LINDSAY BUXBAUM
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Credential |
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Telephone | 855-550-0743
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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 |
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License Number State |
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