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General NPI Number Information
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NPI Number | 1710390646
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Entity Type | Individual
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Provider Name | LAURA ANDREWS MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 1201 W MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06708
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Country | US
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Telephone | 203-597-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 W MAIN ST STE 100
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City | WATERBURY
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State | CT
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Zip | 06708-3105
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Country | US
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Telephone | 35-979-1002
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD045991
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License Number State | DC
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