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General NPI Number Information
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NPI Number | 1528150059
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Entity Type | Individual
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Provider Name | DEREK MICHAEL ANDREWS DPT
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 6 HEALTHCARE DR MANSFIELD HILL
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City | PHILIPPI
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State | WV
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Zip | 26416-9406
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Country | US
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Telephone | 304-457-1760
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Fax | 304-457-1516
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Provider Business Mailing Address
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Address Line | 6 HEALTHCARE DR MANSFIELD HILL
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City | PHILIPPI
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State | WV
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Zip | 26416-9406
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Country | US
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Telephone | 304-457-1760
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Fax | 304-457-1516
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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 | 1976
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License Number State | WV
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