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General NPI Number Information
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NPI Number | 1487559597
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Entity Type | Individual
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Provider Name | JONATHAN P ANDERSON JR.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 164 ERWIN HILLS RD
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City | ASHEVILLE
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State | NC
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Zip | 28806-2185
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Country | US
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Telephone | 828-782-0048
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Fax |
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Provider Business Mailing Address
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Address Line | 341 TAVERNIER LN
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City | CANDLER
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State | NC
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Zip | 28715-0718
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Country | US
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Telephone | 828-808-3160
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | P074803
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License Number State | NC
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