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General NPI Number Information
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NPI Number | 1295874832
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Entity Type | Organization
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Legal Business Name | ANDREW STONE OPTOMETRY INC.
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2012 CHERRY HILL DR SUITE 201
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City | COLUMBIA
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State | MO
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Zip | 65203-5882
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Country | US
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Telephone | 573-445-7750
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Fax | 573-445-7752
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Provider Business Mailing Address
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Address Line | 2012 CHERRY HILL DRIVE SUITE 201
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City | COLUMBIA
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State | MO
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Zip | 65203-5376
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Country | US
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Telephone | 573-445-7750
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ANDREW STONE
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Credential | OD
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Telephone | 573-445-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2002022349
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License Number State | MO
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