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General NPI Number Information
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NPI Number | 1407891971
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Entity Type | Individual
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Provider Name | ANDREW WILLARD JEFFERS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 N ROSE AVE #135
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City | OXNARD
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State | CA
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Zip | 93030-3790
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Country | US
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Telephone | 805-981-1788
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Fax | 805-981-1774
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Provider Business Mailing Address
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Address Line | PO BOX 1919
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City | CAMARILLO
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State | CA
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Zip | 93011-1919
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A77560
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License Number State | CA
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