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General NPI Number Information
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NPI Number | 1063432086
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Entity Type | Individual
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Provider Name | VICKI L. ANDREWS CFNP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 1200 KENWOOD AVE
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City | DULUTH
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State | MN
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Zip | 55811-4199
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Country | US
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Telephone | 218-723-6282
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Fax | 218-723-5953
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Provider Business Mailing Address
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Address Line | 1200 KENWOOD AVE
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City | DULUTH
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State | MN
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Zip | 55811-4199
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Country | US
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Telephone | 218-723-6282
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Fax | 218-723-5953
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1285
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 284539-22
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License Number State | MN
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