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General NPI Number Information
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NPI Number | 1508103961
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Entity Type | Organization
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Legal Business Name | ANDY M. FINE, M.D., INC
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Dates
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Enumeration Date | 01/04/2013
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 20 W DRY CREEK CIR
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City | LITTLETON
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State | CO
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Zip | 80120-4478
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Country | US
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Telephone | 303-703-8583
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Fax | 303-703-9791
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Provider Business Mailing Address
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Address Line | 20 W DRY CREEK CIR
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City | LITTLETON
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State | CO
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Zip | 80120-4478
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Country | US
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Telephone | 303-703-8583
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Fax | 303-703-9791
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | OLGA M WEBBER
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Credential |
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Telephone | 303-703-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3227
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34784
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License Number State | CO
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