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General NPI Number Information
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NPI Number | 1376036921
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Entity Type | Individual
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Provider Name | MADISON JANE ANDREWS MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 STANTON L YOUNG BLVD STE 6300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5018
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Country | US
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Telephone | 405-271-5963
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 NE 13TH ST # 1200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-1039
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Country | US
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Telephone | 580-504-9653
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Fax | 419-208-9438
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 33923
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OK
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