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General NPI Number Information
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NPI Number | 1235548165
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Entity Type | Organization
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Legal Business Name | DR ANDREWS MCALLEN MEDICAL CLINIC ADULT PRACTICE LP
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 4373 S HAMPTON RD
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City | DALLAS
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State | TX
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Zip | 75232-1058
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Country | US
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Telephone | 469-567-3323
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Fax |
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Provider Business Mailing Address
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Address Line | 4373 S HAMPTON RD
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City | DALLAS
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State | TX
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Zip | 75232-1058
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Country | US
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Telephone | 469-567-3323
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RICHARD C ANDREWS
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Credential | DO
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Telephone | 469-567-3323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | F7388
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License Number State | TX
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