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General NPI Number Information
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NPI Number | 1093925679
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Entity Type | Individual
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Provider Name | ANDREW D VANDERHEYDEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 350 N GRANDVIEW AVE
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City | DUBUQUE
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State | IA
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Zip | 52001-6388
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Country | US
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Telephone | 563-589-2431
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Fax | 563-556-0986
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Provider Business Mailing Address
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Address Line | 1026 A AVE NE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52402-5036
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Country | US
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Telephone | 319-369-7002
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Fax | 319-369-8095
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35090920
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 38130
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License Number State | IA
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