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General NPI Number Information
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NPI Number | 1477902799
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Entity Type | Organization
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Legal Business Name | ANDREW NEIGHBORS O.D.
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 460 S VANCE ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-3305
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Country | US
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Telephone | 303-209-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 460 S VANCE ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-3305
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Country | US
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Telephone | 303-209-5133
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ANDREW D NEIGHBORS
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Credential | OD
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Telephone | 870-573-0747
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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 | OPT.0003210
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License Number State | CO
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