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General NPI Number Information
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NPI Number | 1184568313
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Entity Type | Individual
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Provider Name | ANDREA VINES
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1627 CHEW ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-3648
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Country | US
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Telephone | 610-402-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 REDFERN AVE APT 1C
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-3805
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Country | US
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Telephone | 347-429-0013
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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 | MT236194
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License Number State | PA
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