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General NPI Number Information
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NPI Number | 1124434329
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Entity Type | Organization
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Legal Business Name | JAMES C. ANDREWS DMD PA
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1720 TROLLEY ROAD
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City | SUMMERVILLE
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State | SC
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Zip | 29485
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Country | US
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Telephone | 843-871-6351
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Fax | 843-871-7558
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Provider Business Mailing Address
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Address Line | 1720 TROLLEY ROAD
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City | SUMMERVILLE
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State | SC
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Zip | 29485
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Country | US
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Telephone | 843-871-6351
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Fax | 843-871-7558
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMES CHARLES ANDREWS
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Credential | DMD
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Telephone | 843-871-6351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number |
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | SC
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