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General NPI Number Information
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NPI Number | 1669350807
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Entity Type | Individual
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Provider Name | ANDREW LEHMAN PARKS
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 4725 N FEDERAL HWY # 318
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4668
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Country | US
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Telephone | 954-771-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 86 N 900 W
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City | BLACKFOOT
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State | ID
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Zip | 83221-5350
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Country | US
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Telephone | 208-681-1337
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State | FL
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