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General NPI Number Information
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NPI Number | 1528082070
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Entity Type | Organization
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Legal Business Name | ANDREW S RIEMER DO PC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 1352 E PARKDALE AVE
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City | MANISTEE
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State | MI
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Zip | 49660
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Country | US
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Telephone | 231-723-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 5959 LAWNDALE ST
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City | LUDINGTON
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State | MI
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Zip | 49431-2921
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Country | US
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Telephone | 231-845-6261
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Fax | 231-843-9171
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Authorized Official
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Title or Position | CEO
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Name | ANDREW S RIEMER
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Credential | DO
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Telephone | 231-845-6261
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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