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General NPI Number Information
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NPI Number | 1295716298
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Entity Type | Individual
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Provider Name | GREGORY A ANDREWS MD ABPM ABFM FASAM
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | ANDREWS INSTITUTE FOR ADDICTION TREATMENT, LLC 4402 PEACH ST., SUITE 4
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City | ERIE
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State | PA
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Zip | 16509
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Country | US
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Telephone | 814-616-0075
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Fax | 814-281-5956
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Provider Business Mailing Address
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Address Line | 4402 PEACH ST STE 4
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City | ERIE
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State | PA
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Zip | 16509-1375
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Country | US
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Telephone | 814-616-0075
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Fax | 814-281-5956
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD425417
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | MD425417
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License Number State | PA
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