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General NPI Number Information
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NPI Number | 1194834267
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Entity Type | Individual
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Provider Name | SHAWN M. ANDREWS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 575 E. MAIN STREET
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City | ELMA
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State | WA
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Zip | 98541-9551
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Country | US
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Telephone | 360-482-3711
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Fax | 360-861-8675
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Provider Business Mailing Address
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Address Line | 600 E. MAIN STREET
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City | ELMA
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State | WA
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Zip | 98541
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Country | US
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Telephone | 360-482-3711
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Fax | 360-861-8675
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00034009
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License Number State | WA
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