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General NPI Number Information
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NPI Number | 1588862114
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Entity Type | Individual
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Provider Name | COREY D ANDERSON MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 500 J CLYDE MORRIS BLVD
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-1929
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Country | US
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Telephone | 757-594-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 BELLEFONTAINE AVE
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City | LIMA
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State | OH
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Zip | 45804-2800
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Country | US
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Telephone | 419-998-4575
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Fax | 419-998-4586
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | U4391
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2024049040
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R8025
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD217005
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101260667
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME109122
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 3049-320
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.098567
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01076345A
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License Number State | IN
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