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General NPI Number Information
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NPI Number | 1326920786
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Entity Type | Individual
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Provider Name | ANDREW MICHAEL MCCORD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 600 U.S. 31 W BYPASS STE 18D
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City | BOWLING GREEN
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State | KY
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Zip | 42101
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Country | US
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Telephone | 270-842-4428
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Fax |
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Provider Business Mailing Address
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Address Line | 442F BOURBON ST UNIT 303
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City | BOWLING GREEN
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State | KY
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Zip | 42104-7266
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Country | US
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Telephone | 859-595-1606
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | CSW00001040
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License Number State | KY
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