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General NPI Number Information
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NPI Number | 1255485009
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Entity Type | Individual
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Provider Name | PATRICIA J ANDOLINA OD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 3180 LATTA RD SUITE #300
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City | ROCHESTER
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State | NY
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Zip | 14612-3087
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Country | US
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Telephone | 585-663-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 28 NOBLE DRIVE
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City | SPENCERPORT
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State | NY
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Zip | 14559
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Country | US
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Telephone | 585-352-5498
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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 | T0043841
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License Number State | NY
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