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General NPI Number Information
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NPI Number | 1104455831
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Entity Type | Individual
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Provider Name | ALEXANDRA ANDES
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Gender | Female
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 30 N MICHIGAN AVE STE 300
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City | CHICAGO
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State | IL
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Zip | 60602-4495
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Country | US
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Telephone | 312-726-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 600 HIGHLAND AVE
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City | MADISON
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State | WI
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Zip | 53792-0001
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Country | US
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Telephone |
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036162751
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License Number State | IL
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