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General NPI Number Information
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NPI Number | 1215074471
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Entity Type | Organization
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Legal Business Name | WOLFRAM H ANDREWS
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 117 W MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1298
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Country | US
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Telephone | 717-354-2020
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Fax | 717-355-2020
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Provider Business Mailing Address
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Address Line | 117 W MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1298
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Country | US
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Telephone | 717-354-2020
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Fax | 717-355-2020
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MS. JENNIFER K GARCIA
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Credential |
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Telephone | 717-354-2020
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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 |
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License Number State | PA
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