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General NPI Number Information
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NPI Number | 1003067034
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Entity Type | Individual
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Provider Name | ANDREW THOMAS IRONS PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 1111 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8862
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Country | US
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Telephone | 336-584-5544
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Fax | 919-313-1276
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Provider Business Mailing Address
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Address Line | 1111 HUFFMAN MILL RD
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City | BURLINGTON
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State | NC
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Zip | 27215-8862
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Country | US
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Telephone | 336-584-5544
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Fax | 919-313-1276
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA20743
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-01570
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License Number State | NC
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