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General NPI Number Information
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NPI Number | 1619973120
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Entity Type | Individual
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Provider Name | GREGORY D. ANDREASSIAN M.D.,P.A.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 205 W WINDCREST ST STE 130
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4478
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Country | US
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Telephone | 830-997-6773
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Fax | 830-997-1961
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Provider Business Mailing Address
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Address Line | 205 W WINDCREST ST STE 130
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4478
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Country | US
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Telephone | 830-997-6773
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Fax | 830-997-1961
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H0136
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License Number State | TX
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