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General NPI Number Information
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NPI Number | 1467816769
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Entity Type | Individual
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Provider Name | ANDY CHY
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 12380 PLAZA DR # 101
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City | PARMA
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State | OH
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Zip | 44130-1043
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Country | US
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Telephone | 216-898-8488
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Fax | 216-362-0677
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Provider Business Mailing Address
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Address Line | 4488 GREAT SMOKEY CIR
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City | MEDINA
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State | OH
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Zip | 44256-7129
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Country | US
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Telephone | 330-461-4306
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0040764
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License Number State | OH
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