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General NPI Number Information
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NPI Number | 1073523304
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Entity Type | Individual
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Provider Name | THOMAS LEE ANDERSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 605 COMMERCIAL ST
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City | ATCHISON
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State | KS
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Zip | 66002-2404
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Country | US
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Telephone | 913-367-4451
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Fax | 913-367-2319
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Provider Business Mailing Address
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Address Line | 605 COMMERCIAL ST
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City | ATCHISON
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State | KS
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Zip | 66002-2404
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Country | US
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Telephone | 913-367-4451
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Fax | 913-367-7640
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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 | 1675
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License Number State | KS
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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 | 2006023500
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License Number State | MO
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