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General NPI Number Information
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NPI Number | 1265202808
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Entity Type | Organization
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Legal Business Name | ANDREW R. TREECE, OD, PA
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 644 STATESVILLE BLVD
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City | SALISBURY
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State | NC
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Zip | 28144-2280
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Country | US
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Telephone | 897-570-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 1808 E INNES ST
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City | SALISBURY
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State | NC
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Zip | 28146-6027
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Country | US
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Telephone | 704-702-6974
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Fax | 980-305-5120
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW RYAN TREECE
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Credential | OD
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Telephone | 704-702-6974
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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 |
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