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General NPI Number Information
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NPI Number | 1518198621
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Entity Type | Individual
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Provider Name | ANDREW G. NEAL RN, MS(N), FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 350 LYCKMAN PL
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City | FOUNTAIN
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State | CO
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Zip | 80817-2861
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Country | US
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Telephone | 719-632-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 N ACADEMY BLVD STE 130
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5152
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9381514
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | C-APN.0101741-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 121478
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9381514
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License Number State | FL
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