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General NPI Number Information
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NPI Number | 1568483568
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Entity Type | Organization
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Legal Business Name | ANDERSON EYE & EAR ASSOCIATES, P.A.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1655 E GREENVILLE ST
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City | ANDERSON
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State | SC
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Zip | 29621-2062
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Country | US
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Telephone | 864-224-6375
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Fax | 864-716-7738
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Provider Business Mailing Address
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Address Line | 1655 E GREENVILLE ST
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City | ANDERSON
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State | SC
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Zip | 29621-2062
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Country | US
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Telephone | 864-224-6375
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Fax | 864-716-7738
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Authorized Official
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Title or Position | BUSINESS OFFICE SUPERVISOR
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Name | BROOKE CHILDRESS
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Credential |
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Telephone | 864-716-7714
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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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