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General NPI Number Information
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NPI Number | 1649424284
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Entity Type | Individual
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Provider Name | PAMELA JOY ANDLER APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 55 WHITCHER ST NE SUITE 350
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City | MARIETTA
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State | GA
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Zip | 30060-1155
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Country | US
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Telephone | 770-424-6893
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Fax | 678-819-0357
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Provider Business Mailing Address
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Address Line | 1202 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7307
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Country | US
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Telephone | 910-341-3300
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN157084
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5009671
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License Number State | NC
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