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General NPI Number Information
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NPI Number | 1033195326
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Entity Type | Individual
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Provider Name | ANDREW LEON PRITCHARD O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 525 JAMESTOWN ST SUITE 207
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1751
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Country | US
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Telephone | 215-483-8444
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Fax | 215-482-8456
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Provider Business Mailing Address
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Address Line | 525 JAMESTOWN ST SUITE 207
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1751
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Country | US
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Telephone | 215-483-8444
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Fax | 215-482-8456
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OEG000724
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License Number State | PA
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