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General NPI Number Information
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NPI Number | 1033308135
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Entity Type | Organization
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Legal Business Name | DR ANDREW DECKER M D P C
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 322 UNDERHILL AVE
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City | YORKTOWN
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State | NY
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Zip | 10598
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Country | US
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Telephone | 914-245-2818
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Fax | 914-245-2794
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Provider Business Mailing Address
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Address Line | 322 UNDERHILL AVE
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City | YORKTOWN
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State | NY
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Zip | 10598
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Country | US
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Telephone | 914-245-2818
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Fax | 914-245-2794
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANDREW D. DECKER
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Credential | M.D., PC
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Telephone | 914-245-2818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 187812
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License Number State | NY
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