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General NPI Number Information
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NPI Number | 1497084388
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Entity Type | Individual
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Provider Name | CANDACE K ANDREWS LADC
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Gender | Female
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Dates
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Enumeration Date | 12/23/2009
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 1201 TERMINAL WAY SUITE 224
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City | RENO
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State | NV
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Zip | 89502-3202
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Country | US
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Telephone | 775-677-2612
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Fax | 775-348-2612
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Provider Business Mailing Address
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Address Line | 1201 TERMINAL WAY SUITE 224
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City | RENO
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State | NV
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Zip | 89502-3202
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Country | US
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Telephone | 775-677-2612
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Fax | 775-348-2612
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00562-L
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License Number State | NV
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