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General NPI Number Information
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NPI Number | 1487641213
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Entity Type | Individual
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Provider Name | ANDREW PERRY ROCKWOOD O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 11/12/2016
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Provider Practice Location Address
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Address Line | 348 E 2600 N
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2278
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Country | US
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Telephone | 801-701-7836
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Fax | 888-843-0491
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Provider Business Mailing Address
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Address Line | 315 W WEBER HIGH DR
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City | PLEASANT VIEW
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State | UT
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Zip | 84414-1456
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Country | US
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Telephone | 801-694-7243
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Fax |
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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 | 59500478908
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License Number State | UT
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