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General NPI Number Information
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NPI Number | 1225037393
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Entity Type | Individual
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Provider Name | ANDREW D. FELTZ O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 740 COMMERCE DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-5277
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Country | US
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Telephone | 419-874-0393
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Fax | 419-874-0394
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Provider Business Mailing Address
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Address Line | 12910 SHELBYVILLE RD STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40243-2404
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Country | US
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Telephone | 502-244-2420
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Fax | 502-244-2441
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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 | 18003492A
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License Number State | IN
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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 | OEG002019
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | L1374544
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4642 T1417
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007663-1
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00629300
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License Number State | NJ
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