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General NPI Number Information
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NPI Number | 1245570001
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Entity Type | Individual
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Provider Name | ANDREW MO MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 18109 PRINCE PHILIP DR STE 325
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City | OLNEY
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State | MD
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Zip | 20832-1576
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Country | US
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Telephone | 301-774-8958
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 RESERVOIR RD NW FL PHC
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | D0092269
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License Number State | MD
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