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General NPI Number Information
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NPI Number | 1265866784
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Entity Type | Individual
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Provider Name | ANDREW LAWRENCE MCDONALD DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 17705 HALE AVE SUITE A1
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City | MORGAN HILL
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State | CA
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Zip | 95037-4340
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Country | US
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Telephone | 408-779-9335
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Fax | 408-782-1087
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Provider Business Mailing Address
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Address Line | 17705 HALE AVE SUITE A1
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City | MORGAN HILL
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State | CA
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Zip | 95037-4340
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Country | US
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Telephone | 408-779-9335
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Fax | 669-333-5755
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 62574
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License Number State | CA
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