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General NPI Number Information
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NPI Number | 1063485282
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Entity Type | Organization
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Legal Business Name | ANDREWS ORTHOPAEDIC & SPORTS MEDICINE CENTER
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1118 GULF BREEZE PKWY SUITE 100
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City | GULF BREEZE
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State | FL
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Zip | 32561-7800
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Country | US
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Telephone | 850-916-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 GULF BREEZE PKWY SUITE 100
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City | GULF BREEZE
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State | FL
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Zip | 32561-7800
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Country | US
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Telephone | 850-916-3700
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. AARON T. BARTER
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Credential |
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Telephone | 850-916-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 207X00000X
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License Number State | FL
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