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General NPI Number Information
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NPI Number | 1487164372
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Entity Type | Individual
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Provider Name | ANDREA KAYE TOLMAN RN, CDE
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Gender | Female
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Dates
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Enumeration Date | 10/04/2017
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Last Update Date | 10/04/2017
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Provider Practice Location Address
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Address Line | 1424 E FOREMASTER DR STE 140
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City | ST GEORGE
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State | UT
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Zip | 84790-5832
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Country | US
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Telephone | 435-251-2888
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Fax | 435-251-2878
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Provider Business Mailing Address
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Address Line | 1424 E FOREMASTER DR STE 140
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City | ST GEORGE
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State | UT
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Zip | 84790-5832
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Country | US
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Telephone | 435-251-2888
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Fax | 435-251-2878
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 7666215-3102
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License Number State | UT
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