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General NPI Number Information
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NPI Number | 1114987757
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Entity Type | Individual
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Provider Name | ANDREW L. PENDLETON MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-8180
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Fax | 912-350-5697
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Provider Business Mailing Address
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Address Line | 4750 WATERS AVE STE 103
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City | SAVANNAH
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State | GA
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Zip | 31404-6267
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Country | US
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Telephone | 912-350-5646
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Fax | 912-350-5697
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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 | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 067429
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License Number State | GA
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