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General NPI Number Information
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NPI Number | 1225598980
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Entity Type | Individual
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Provider Name | ANDREW JONATHAN CAREY MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone | 937-208-3882
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 EMORY PL
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City | DAYTON
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State | OH
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Zip | 45424-1856
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Country | US
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Telephone | 423-414-2917
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 35.140074
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 37326
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 35.140074
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License Number State | OH
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