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General NPI Number Information
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NPI Number | 1073668307
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Entity Type | Organization
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Legal Business Name | DRS. BARNETT, ANDERSEN, & ASSOCIATES, OPTOMETRIST, P.C.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 4319 LAWRENCEVILLE HWY NW
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City | LILBURN
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State | GA
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Zip | 30047-3416
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Country | US
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Telephone | 770-921-4707
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Fax | 770-925-8973
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Provider Business Mailing Address
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Address Line | 4319 LAWRENCEVILLE HWY NW
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City | LILBURN
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State | GA
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Zip | 30047-3416
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Country | US
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Telephone | 770-921-4707
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Fax | 770-925-8973
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. JOSEPH LEIF ANDERSEN
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Credential | O.D.
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Telephone | 770-921-4707
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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 | 683T
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License Number State | GA
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