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NPI Code Detail

MEDICARE: MARILYN REED OPTICIAN

MEDICARE: MARILYN REED OPTICIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician50NH

General Provider Information

NPI Number : 1760653547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN REED OPTICIAN
Provider Business Mailing Address
First Line : 63 PLEASANT ST
Second Line :
City : CLAREMONT
State : NH
Zip : 03743-2605
Country : US
Telephone Number : 603-543-3125
Fax Number : 603-543-3126
Provider Business Practice Location Address
First Line : 63 PLEASANT ST
Second Line :
City : CLAREMONT
State : NH
Zip : 03743-2605
Country : US
Telephone Number : 603-543-3125
Fax Number : 603-543-3126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 03/19/2008

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Directions to “ MARILYN REED OPTICIAN” Practice Location

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