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General NPI Number Information
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NPI Number | 1043497209
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Entity Type | Organization
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Legal Business Name | JAMES WILLIAM ANDREWS, OD
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 5062 MOBILE HWY
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City | PENSACOLA
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State | FL
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Zip | 32506-3240
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Country | US
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Telephone | 850-453-4373
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Fax | 850-453-1953
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Provider Business Mailing Address
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Address Line | 5062 MOBILE HWY
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City | PENSACOLA
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State | FL
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Zip | 32506-3240
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Country | US
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Telephone | 850-453-4373
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Fax | 850-453-1953
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES WILLIAM ANDREWS
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Credential | O.D.
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Telephone | 850-453-4373
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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 | OPC1391
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC1391
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License Number State | FL
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