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General NPI Number Information
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NPI Number | 1205023587
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Entity Type | Individual
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Provider Name | ANDRE FERREIRA DMD,MS
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Gender | Male
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 1677 GOLDEN SPRINGS RD
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City | ANNISTON
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State | AL
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Zip | 36207-7097
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Country | US
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Telephone | 256-831-7515
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Fax | 256-831-7517
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Provider Business Mailing Address
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Address Line | 1677 GOLDEN SPRINGS RD
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City | ANNISTON
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State | AL
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Zip | 36207-7097
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Country | US
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Telephone | 256-831-7515
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Fax | 256-831-7517
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5401
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License Number State | AL
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