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General NPI Number Information
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NPI Number | 1629396171
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Entity Type | Organization
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Legal Business Name | ANDREW J GUNN OD INC
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Dates
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Enumeration Date | 05/08/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 2000 BRITTAIN RD STE 600
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City | AKRON
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State | OH
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Zip | 44310-1814
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Country | US
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Telephone | 330-633-0053
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Fax | 330-633-4274
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Provider Business Mailing Address
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Address Line | 759 WISTERIA DR
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City | BARBERTON
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State | OH
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Zip | 44203-4449
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Country | US
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Telephone | 330-745-9735
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Fax | 330-745-5128
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW J GUNN
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Credential | O.D.
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Telephone | 330-745-9735
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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 | 3174T805
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License Number State | OH
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