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General NPI Number Information
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NPI Number | 1659322337
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Entity Type | Individual
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Provider Name | ANDREA P BLANKENSHIP PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 1098 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-1546
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Country | US
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Telephone | 606-432-5532
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Fax | 606-432-5564
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Provider Business Mailing Address
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Address Line | PO BOX 2500
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City | PIKEVILLE
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State | KY
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Zip | 41502-2500
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Country | US
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Telephone | 606-432-5532
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Fax | 606-432-5564
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA827
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License Number State | KY
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