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General NPI Number Information
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NPI Number | 1194794727
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Entity Type | Individual
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Provider Name | JOHN JAMES ANDERSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 500 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1315
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Country | US
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Telephone | 330-884-3957
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Fax | 330-884-5684
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Provider Business Mailing Address
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Address Line | 7008 TRYALTAN LN
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City | CANFIELD
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State | OH
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Zip | 44406-9422
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Country | US
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Telephone | 330-533-2836
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 32-02-1295
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License Number State | OH
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