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General NPI Number Information
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NPI Number | 1326919333
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Entity Type | Individual
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Provider Name | ANDREA MCCOY
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3476 GREGG PLZ APT 3207
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City | BELLEVUE
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State | NE
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Zip | 68123-5021
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Country | US
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Telephone | 402-707-7327
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Fax |
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Provider Business Mailing Address
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Address Line | 12901 S 29TH PL
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City | BELLEVUE
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State | NE
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Zip | 68123-3218
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Country | US
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Telephone |
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 76571
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License Number State | NE
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