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General NPI Number Information
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NPI Number | 1306305354
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Entity Type | Individual
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Provider Name | ANDREA L ANCEL DPT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1171 W CONWAY RD
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City | HARBOR SPRINGS
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State | MI
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Zip | 49740-9684
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Country | US
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Telephone | 231-487-6163
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Fax | 231-487-4615
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Provider Business Mailing Address
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Address Line | PO BOX 487
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City | PETOSKEY
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State | MI
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Zip | 49770-0487
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Country | US
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Telephone | 734-755-3458
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501017768
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License Number State | MI
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