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NPI 1396619995

NPI 1396619995 : KEVIN ANDREWS : LEANDER, TX

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General NPI Number Information
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    NPI Number           |    1396619995
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN ANDREWS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/06/2025
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    2082 US 183 STE 175 
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    City                 |    LEANDER
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    State                |    TX
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    Zip                  |    78641-1789
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    Country              |    US
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    Telephone            |    737-757-0838
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7210 WATERLINE RD 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-2049
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1401603
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    License Number State |    TX
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