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NPI 1396238945

NPI 1396238945 : ANDREW NIMMICH M.D. : NAPA, CA

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General NPI Number Information
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    NPI Number           |    1396238945
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW NIMMICH M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2018
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    Last Update Date     |    02/28/2025
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Provider Practice Location Address
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    Address Line         |    4 FINANCIAL PLZ 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-3043
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    Country              |    US
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    Telephone            |    843-469-9196
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4 FINANCIAL PLZ 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-3043
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    Country              |    US
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    Telephone            |    707-266-7051
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    Fax                  |    707-266-7052
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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        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    U0818
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2086S0129X
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    Taxonomy Name        |    Vascular Surgery Physician
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    License Number       |    A198961
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    License Number State |    CA
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