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General NPI Number Information
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NPI Number | 1326187675
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Entity Type | Individual
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Provider Name | GLENN STEVEN ANDREWS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 200 LOTHROP ST C/O DEPARTMENT OF DIAGNOSTIC RADIOLOGY
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City | PITTSBURGH
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State | PA
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Zip | 15213-2536
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Country | US
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Telephone | 141-264-7728
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WATERMAN WAY
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City | TAVARES
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State | FL
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Zip | 32778-5266
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Country | US
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Telephone | 352-253-3333
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D72313
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0009193
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME150696
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101235036
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD446849
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License Number State | PA
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