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General NPI Number Information
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NPI Number | 1952173759
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Entity Type | Organization
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Legal Business Name | ANDRE EYE AND OPTICAL PLLC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 115 COLLEGE ST
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City | SCHULENBURG
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State | TX
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Zip | 78956-1601
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Country | US
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Telephone | 979-505-4023
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Fax | 979-725-2132
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Provider Business Mailing Address
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Address Line | 115 COLLEGE ST
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City | SCHULENBURG
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State | TX
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Zip | 78956-1601
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Country | US
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Telephone | 979-505-4023
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Fax | 979-725-2132
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Authorized Official
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Title or Position | OWNER
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Name | VAN ANDRE
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Credential | MD
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Telephone | 214-957-4234
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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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