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General NPI Number Information
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NPI Number | 1003808114
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Entity Type | Individual
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Provider Name | JOHN S ANDREWS MD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 467 W DEMING PL
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City | CHICAGO
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State | IL
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Zip | 60614-1881
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Country | US
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Telephone | 312-227-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 330 N WABASH AVE STE 39300
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City | CHICAGO
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State | IL
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Zip | 60611-5885
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Country | US
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Telephone | 312-464-5456
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Fax | 312-224-6912
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036.147862
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 46329
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License Number State | MN
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