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General NPI Number Information
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NPI Number | 1225895261
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Entity Type | Individual
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Provider Name | ANASTASIA D'AMICO O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 14269 N 87TH ST STE 2032ND
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3693
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Country | US
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Telephone | 480-483-4882
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | BELGRADE LAKES
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State | ME
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Zip | 04918-0206
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Country | US
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Telephone | 207-215-5929
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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 | OPT-002792
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License Number State | AZ
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