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General NPI Number Information
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NPI Number | 1558704445
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Entity Type | Individual
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Provider Name | ANDREA LYNN MCGAW NP
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Gender | Female
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 211 N EDDY ST NULL
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City | SOUTH BEND
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State | IN
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Zip | 46617-2808
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Country | US
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Telephone | 574-234-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 211 N EDDY ST
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City | SOUTH BEND
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State | IN
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Zip | 46617-2808
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Country | US
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Telephone | 574-239-1433
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Fax | 574-237-9272
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 0024185491
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.023826
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71004372A
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License Number State | IN
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