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General NPI Number Information
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NPI Number | 1447310230
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Entity Type | Individual
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Provider Name | CURTIS A ANDRE O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 711 E HAWKEYE AVE SUITE 1
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City | TURLOCK
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State | CA
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Zip | 95380-7505
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Country | US
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Telephone | 209-632-2411
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Fax | 209-632-9019
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Provider Business Mailing Address
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Address Line | 711 E HAWKEYE AVE SUITE 1
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City | TURLOCK
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State | CA
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Zip | 95380-7505
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Country | US
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Telephone | 209-632-2411
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Fax | 209-632-9019
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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 | 6157T
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License Number State | CA
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