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General NPI Number Information
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NPI Number | 1447554621
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Entity Type | Organization
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Legal Business Name | ANDREW L NASH, MD, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 911 SAN RAMON VALLEY BLVD SUITE 100
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City | DANVILLE
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State | CA
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Zip | 94526-4037
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Country | US
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Telephone | 925-362-1861
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Fax | 925-217-3258
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Provider Business Mailing Address
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Address Line | 911 SAN RAMON VALLEY BLVD SUITE 100
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City | DANVILLE
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State | CA
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Zip | 94526-4037
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Country | US
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Telephone | 925-362-1861
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Fax | 925-217-3258
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW LOREN NASH
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Credential | M.D.
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Telephone | 925-362-1861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G074855
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License Number State | CA
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