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General NPI Number Information
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NPI Number | 1063619245
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Entity Type | Organization
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Legal Business Name | TODD ANDERSON MD INC.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 100 N BRENT ST SUITE 203
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City | VENTURA
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State | CA
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Zip | 93003-2822
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Country | US
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Telephone | 805-653-7600
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Fax | 805-653-7605
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Provider Business Mailing Address
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Address Line | 100 N BRENT ST SUITE 203
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City | VENTURA
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State | CA
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Zip | 93003-2822
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Country | US
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Telephone | 805-653-7600
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Fax | 805-653-7605
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Authorized Official
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Title or Position | OWNER
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Name | TODD ANDERSON
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Credential | MD
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Telephone | 805-653-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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