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General NPI Number Information
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NPI Number | 1609081520
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Entity Type | Individual
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Provider Name | ANDREW S. FERRELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 1924 ALCOA HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-1511
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Country | US
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Telephone | 865-305-9661
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Fax | 865-305-6148
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Provider Business Mailing Address
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Address Line | 5401 KINGSTON PIKE STE 540
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City | KNOXVILLE
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State | TN
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Zip | 37919-5022
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Country | US
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Telephone | 865-584-7376
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Fax | 865-584-8938
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 27066
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2009-01616
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 48411
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License Number State | TN
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