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General NPI Number Information
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NPI Number | 1770727679
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Entity Type | Organization
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Legal Business Name | MARTHA G. ANDREWS
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 312 COTTAGE ST STE E
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City | SANFORD
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State | ME
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Zip | 04073-1817
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Country | US
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Telephone | 207-324-8483
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Fax | 207-490-5558
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Provider Business Mailing Address
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Address Line | 312 COTTAGE ST STE E
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City | SANFORD
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State | ME
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Zip | 04073-1817
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Country | US
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Telephone | 207-324-8483
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Fax | 207-490-5558
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MARTHA ANDREWS
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Credential | MA
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Telephone | 207-324-8483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1
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License Number State | ME
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