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General NPI Number Information
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NPI Number | 1275565715
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Entity Type | Individual
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Provider Name | ANDREY LUNDIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 1 PARKLAND DR
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City | DERRY
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State | NH
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Zip | 03038-2746
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Country | US
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Telephone | 603-432-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 400
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City | KNOXVILLE
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State | TN
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Zip | 37919-4052
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Country | US
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Telephone | 800-342-2898
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Fax | 602-262-8890
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 20127
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License Number State | NH
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