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General NPI Number Information
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NPI Number | 1033843974
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Entity Type | Individual
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Provider Name | ANDREW PHILIP THORNE
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Gender | Male
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 180 E SUNBRIDGE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2830
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Country | US
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Telephone | 479-444-4027
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Fax |
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Provider Business Mailing Address
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Address Line | 10448 LABRADOR LOOP
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City | MANASSAS
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State | VA
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Zip | 20112-2733
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Country | US
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Telephone | 703-881-2665
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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