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General NPI Number Information
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NPI Number | 1477605863
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Entity Type | Individual
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Provider Name | ANDREW RADER LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6080 CAMP ERNST RD
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City | BURLINGTON
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State | KY
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Zip | 41005-8354
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Country | US
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Telephone | 513-673-9700
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Fax | 859-586-4636
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | HEBRON
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State | KY
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Zip | 41048-0185
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Country | US
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Telephone | 513-673-9700
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Fax | 859-586-4636
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0595
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001537A
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License Number State | IN
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