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General NPI Number Information
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NPI Number | 1508814179
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Entity Type | Individual
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Provider Name | DEBORA THOMAS ANDREWS MD
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 450 S WILLARD ST STE 115
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City | COTTONWOOD
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State | AZ
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Zip | 86326-6744
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Country | US
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Telephone | 928-639-9596
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Fax | 928-639-0189
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Provider Business Mailing Address
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Address Line | 1490 N TURQUOISE DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1383
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Country | US
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Telephone | 928-774-5074
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Fax | 928-779-0884
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 23745
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License Number State | AZ
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