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General NPI Number Information
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NPI Number | 1295124071
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Entity Type | Individual
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Provider Name | ANDREA TSORIS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 2222 N NEVADA AVE STE 5017
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6865
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Country | US
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Telephone | 719-776-6810
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Fax | 719-776-6820
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Provider Business Mailing Address
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Address Line | 6820 HWY 70 S APT 318
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City | NASHVILLE
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State | TN
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Zip | 37221-5237
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Country | US
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Telephone | 224-217-8235
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DR.0068541
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | LP03741
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License Number State | RI
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