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General NPI Number Information
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NPI Number | 1568979318
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Entity Type | Individual
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Provider Name | DR. THERESA A ANDRAOS
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Gender | Female
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 419 N FRANKLIN ST STE 1
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City | WEST CHESTER
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State | PA
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Zip | 19380-2400
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Country | US
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Telephone | 610-431-1333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 196
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City | CHEYNEY
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State | PA
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Zip | 19319-0196
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Country | US
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Telephone | 610-291-0211
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC011296
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License Number State | PA
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