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General NPI Number Information
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NPI Number | 1376570812
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Entity Type | Individual
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Provider Name | ANDRONICA S HANDIE DPM
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 9709 EAST 79TH STREET
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City | TULSA
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State | OK
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Zip | 74133-4566
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Country | US
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Telephone | 918-994-4000
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Fax | 918-294-6939
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Provider Business Mailing Address
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Address Line | 9709 E 79TH ST
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City | TULSA
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State | OK
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Zip | 74133-4566
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Country | US
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Telephone | 918-994-4000
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Fax | 918-994-4090
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 231
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 252
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 252
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License Number State | OK
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