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General NPI Number Information
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NPI Number | 1508869512
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Entity Type | Individual
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Provider Name | ANDREA J MCWHORTER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14545 W GRAND AVE STE 108
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City | SURPRISE
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State | AZ
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Zip | 85374-7279
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Country | US
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Telephone | 623-544-0300
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Fax | 623-544-0239
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Provider Business Mailing Address
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Address Line | 14545 W GRAND AVE STE 108
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City | SURPRISE
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State | AZ
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Zip | 85374-7279
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Country | US
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Telephone | 623-544-0300
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Fax | 623-544-0239
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5833
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License Number State | AZ
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