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General NPI Number Information
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NPI Number | 1043743776
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Entity Type | Individual
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Provider Name | ANDREW MEHLMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 13403 BOYETTE RD
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City | RIVERVIEW
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State | FL
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Zip | 33569-8742
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Country | US
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Telephone | 813-654-1775
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Fax |
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Provider Business Mailing Address
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Address Line | 13403 BOYETTE RD
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City | RIVERVIEW
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State | FL
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Zip | 33569-8742
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Country | US
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Telephone | 813-654-1775
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036152991
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036.152991
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036152991
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME162766
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License Number State | FL
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