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General NPI Number Information
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NPI Number | 1033369012
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Entity Type | Individual
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Provider Name | ANDREW EDWARD GLOVER DO
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Gender | Male
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 700 NE 87TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-1913
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Country | US
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Telephone | 360-397-3936
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Fax |
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Provider Business Mailing Address
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Address Line | 700 NE 87TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-1913
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Country | US
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Telephone | 360-397-3936
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Fax |
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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 | 036-121383
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License Number State | IL
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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 | OP60236670
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License Number State | WA
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