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General NPI Number Information
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NPI Number | 1427610765
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Entity Type | Individual
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Provider Name | ANDREW OESTREICH DC
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Gender | Male
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 5201 BOSQUE BLVD STE 240
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City | WACO
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State | TX
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Zip | 76710-4676
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Country | US
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Telephone | 830-609-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 5210 BAGBY AVE APT 335
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City | WACO
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State | TX
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Zip | 76711-2311
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Country | US
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Telephone | 830-609-8866
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13846
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License Number State | TX
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