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General NPI Number Information
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NPI Number | 1730819269
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Entity Type | Individual
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Provider Name | ANDREW EGGER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 25501 BRAINARD AVE
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 630-400-7964
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 PINE FOREST RD APT 3311
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City | AUGUSTA
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State | GA
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Zip | 30909-0495
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Country | US
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Telephone | 630-400-7964
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7811
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License Number State | NE
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