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General NPI Number Information
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NPI Number | 1275509168
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Entity Type | Individual
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Provider Name | ANDREW G. GIANNOTTI MD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 9474 LATHROP INDUSTRIAL DR SW
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City | TUMWATER
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State | WA
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Zip | 98512-1109
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Country | US
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Telephone | 360-583-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 9474 LATHROP INDUSTRIAL DR SW
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City | TUMWATER
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State | WA
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Zip | 98512-1109
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | MD61508969
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License Number State | WA
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