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General NPI Number Information
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NPI Number | 1124982905
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Entity Type | Individual
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Provider Name | ANDREA NATALY CANTU
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Gender |
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 10223 MCLNTYRE RIDGE RD
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City | PINEVILLE
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State | NC
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Zip | 28134
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Country | US
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Telephone | 704-520-0955
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Fax |
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Provider Business Mailing Address
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Address Line | 211 E PARK AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-4749
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Country | US
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Telephone | 731-432-0663
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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