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General NPI Number Information
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NPI Number | 1538192323
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Entity Type | Individual
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Provider Name | FELIX ANDARSIO JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1397 MEDICAL PARK BLVD. SUITE 440
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City | WELLINGTON
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State | FL
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Zip | 33414-6108
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Country | US
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Telephone | 561-784-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 1394 BEACON CIR
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City | WELLINGTON
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State | FL
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Zip | 33414-3154
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Country | US
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Telephone | 561-791-7483
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS7249
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License Number State | FL
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