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General NPI Number Information
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NPI Number | 1356348437
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Entity Type | Individual
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Provider Name | ALEXANDAR ANDRICH O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 10139 ROYALTON RD SUITE D
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4472
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Country | US
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Telephone | 440-230-0923
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Fax | 440-786-5086
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Provider Business Mailing Address
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Address Line | 10139 ROYALTON RD STE D
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4473
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Country | US
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Telephone | 330-915-3007
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Fax | 330-319-6390
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 4693/T1471
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | 4693/T1471
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 4693/T1471
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 4693/T1471
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License Number State | OH
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