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General NPI Number Information
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NPI Number | 1477031847
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Entity Type | Individual
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Provider Name | ANDREW DENNIS RALL C-NP
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Gender | Male
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 400 ALTAIR PKWY STE 3100
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City | WESTERVILLE
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State | OH
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Zip | 43082-7653
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Country | US
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Telephone | 614-360-9995
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Fax | 844-571-1777
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Provider Business Mailing Address
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Address Line | 115 N CENTER ST
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City | FRACKVILLE
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State | PA
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Zip | 17931-1203
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Country | US
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Telephone | 419-496-6942
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP020441
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.023081
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License Number State | OH
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