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NPI 1093270563

NPI 1093270563 : ASIA N. ANDREWS PA-C : SMYRNA, GA

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General NPI Number Information
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    NPI Number           |    1093270563
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    Entity Type          |    Individual 
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    Provider Name        |    ASIA N. ANDREWS PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/08/2019
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    Last Update Date     |    12/05/2024
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Provider Practice Location Address
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    Address Line         |    1300 HAWTHORNE AVE SE 
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    City                 |    SMYRNA
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    State                |    GA
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    Zip                  |    30080-2136
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    Country              |    US
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    Telephone            |    678-540-1144
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    Fax                  |    678-540-1166
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Provider Business Mailing Address
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    Address Line         |    PO BOX 128 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77402-0128
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    Country              |    US
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    Telephone            |    281-833-3330
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    Fax                  |    281-833-3323
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    9145
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    License Number State |    GA
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