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General NPI Number Information
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NPI Number | 1972012318
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Entity Type | Organization
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Legal Business Name | ANDREWS EYE CORPORATION
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 117 WEST MAIN STREET
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City | NEW HOLLAND
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State | PA
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Zip | 17557
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Country | US
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Telephone | 717-354-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 117 W MAIN ST
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City | NEW HOLLAND
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State | PA
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Zip | 17557-1298
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Country | US
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Telephone | 717-354-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN ANDREWS
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Credential | O.D.
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Telephone | 717-354-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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