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General NPI Number Information
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NPI Number | 1699757302
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Entity Type | Organization
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Legal Business Name | ANDERSON & SHAPIRO EYE SURGEONS, SC
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1200 JOHN Q HAMMONS DR STE 100
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City | MADISON
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State | WI
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Zip | 53717-1967
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Country | US
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Telephone | 608-827-7705
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 JOHN Q HAMMONS DR STE 100
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City | MADISON
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State | WI
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Zip | 53717-1967
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JENNIFER BOYD BALDOCK
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Credential |
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Telephone | 615-234-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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