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General NPI Number Information
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NPI Number | 1629474911
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Entity Type | Individual
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Provider Name | KATHRYN ANDREW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 10567 165TH ST W STE 201
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City | LAKEVILLE
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State | MN
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Zip | 55044-3523
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Country | US
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Telephone | 612-414-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 18400 ORCHARD TRL APT 154
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City | LAKEVILLE
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State | MN
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Zip | 55044-5260
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Country | US
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Telephone |
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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