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General NPI Number Information
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NPI Number | 1730180530
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Entity Type | Individual
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Provider Name | MICHAEL E MCANDREW M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 368 BIELBY RD SUITE 100
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-2774
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Country | US
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Telephone | 812-537-5772
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Fax | 812-537-3936
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Provider Business Mailing Address
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Address Line | PO BOX 635283
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City | CINCINNATI
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State | OH
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Zip | 45263-5283
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Country | US
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Telephone | 859-344-5555
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Fax | 859-344-5552
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35075385M
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01044092A
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License Number State | IN
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