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General NPI Number Information
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NPI Number | 1023092632
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Entity Type | Individual
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Provider Name | ANDRI GAUKUR OLAFSSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 37100 N GANTZEL RD STE 107
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-7350
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Country | US
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Telephone | 480-394-4480
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Fax | 480-394-4521
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Provider Business Mailing Address
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Address Line | 37100 N GANTZEL RD STE 107
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-7350
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Country | US
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Telephone | 804-394-4480
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Fax | 804-394-4521
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2005-01849
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10369
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 48782
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License Number State | AZ
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