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General NPI Number Information
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NPI Number | 1447234976
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Entity Type | Individual
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Provider Name | DR. LISA M. ANDRASZ
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Gender | Female
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 223 FARNSWORTH AVE
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1841
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Country | US
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Telephone | 609-298-1072
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Fax | 609-298-6950
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Provider Business Mailing Address
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Address Line | 223 FARNSWORTH AVE
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1841
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Country | US
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Telephone | 609-298-1072
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Fax | 609-298-6950
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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 | AO-05361
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License Number State | NJ
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