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General NPI Number Information
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NPI Number | 1225093966
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Entity Type | Individual
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Provider Name | ANDREW PATRICK LIEPINS PA
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 3281 ED DR.
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City | RALEIGH
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State | NC
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Zip | 27612-8038
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Country | US
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Telephone | 919-758-8677
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60968
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City | CHARLOTTE
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State | NC
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Zip | 28260-0968
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Country | US
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Telephone | 843-237-3378
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Fax | 843-237-5073
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 102862
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License Number State | NC
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