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General NPI Number Information
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NPI Number | 1679832547
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Entity Type | Individual
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Provider Name | MR. ANDREW T WERNER
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Gender | Male
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 4812 SW 74TH CT # 3
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City | MIAMI
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State | FL
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Zip | 33155-4448
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Country | US
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Telephone | 808-295-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 N NIMITZ HWY C301
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City | HONOLULU
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State | HI
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Zip | 96817-4579
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Country | US
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Telephone | 808-295-6202
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1633
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License Number State | FL
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