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General NPI Number Information
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NPI Number | 1699005207
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Entity Type | Individual
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Provider Name | ELIZABETH JUDD ANDREWS MS LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 1209 E GARRISON BLVD
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City | GASTONIA
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State | NC
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Zip | 28054-5115
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Country | US
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Telephone | 704-689-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 E WOODLAWN RD UNIT 310
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City | CHARLOTTE
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State | NC
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Zip | 28209-2866
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Country | US
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Telephone | 919-417-5547
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1296
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License Number State | NC
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