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General NPI Number Information
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NPI Number | 1356991830
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Entity Type | Organization
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Legal Business Name | FINPAX
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 11847 ASPENGRAF LN STE A
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City | NEW KENT
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State | VA
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Zip | 23124-2130
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Country | US
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Telephone | 804-932-6225
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Fax | 804-557-0185
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Provider Business Mailing Address
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Address Line | 3300 READES WAY
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-2425
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Country | US
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Telephone | 215-901-1348
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Fax |
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Authorized Official
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Title or Position | OD/ OWNER
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Name | ANDREW AMBROSE
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Credential | OPTOMETRIST
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Telephone | 804-932-6225
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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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