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General NPI Number Information
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NPI Number | 1013954007
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Entity Type | Individual
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Provider Name | ANDREW T TURRISI III MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 190 WELLES ST
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City | FORTY FORT
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State | PA
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Zip | 18704-4968
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Country | US
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Telephone | 570-714-8686
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Fax | 570-714-8666
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Provider Business Mailing Address
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Address Line | PO BOX 515490
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City | LOS ANGELES
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State | CA
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Zip | 90051-6790
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Country | US
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Telephone | 800-331-9294
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Fax | 812-471-9282
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301054032
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD023476E
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License Number State | PA
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