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NPI 1700176070

NPI 1700176070 : STEVEN ANTHONY ANDRADE M.D. : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1700176070
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN ANTHONY ANDRADE M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/07/2011
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    501 19TH ST STE 401 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37916
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    Country              |    US
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    Telephone            |    865-331-2020
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    Fax                  |    865-331-1976
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Provider Business Mailing Address
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    Address Line         |    501 19TH ST STE 401 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37916-1831
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    Country              |    US
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    Telephone            |    865-331-2020
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    Fax                  |    865-331-1976
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    2015-00144
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207VM0101X
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    Taxonomy Name        |    Maternal & Fetal Medicine Physician
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    License Number       |    57591
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    License Number State |    TN
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