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General NPI Number Information
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NPI Number | 1255320289
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Entity Type | Organization
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Legal Business Name | ANDERSON & MCDONALD OD LTD
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 20094 KENWOOD TRL
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City | LAKEVILLE
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State | MN
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Zip | 55044-5404
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Country | US
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Telephone | 952-469-3937
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Fax | 877-795-9884
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Provider Business Mailing Address
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Address Line | 20094 KENWOOD TRL
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City | LAKEVILLE
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State | MN
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Zip | 55044-5404
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Country | US
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Telephone | 952-469-3937
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Fax | 877-795-9884
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ANTHONY M MCDONALD
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Credential | OD
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Telephone | 952-469-3937
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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 | 13
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License Number State | MN
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