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General NPI Number Information
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NPI Number | 1154520906
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Entity Type | Individual
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Provider Name | ANDREW JEREMY AKER O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 1962 SW BROADWAY
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City | PORTLAND
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State | OR
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Zip | 97201-6710
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Country | US
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Telephone | 503-227-0632
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Fax | 503-227-0661
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Provider Business Mailing Address
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Address Line | 11525 SW BEL AIRE LN
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City | BEAVERTON
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State | OR
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Zip | 97008-5911
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Country | US
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Telephone | 503-737-9208
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Fax |
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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 | 3226ATI
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License Number State | OR
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