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General NPI Number Information
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NPI Number | 1801048434
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Entity Type | Individual
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Provider Name | NATISHA MARIE ANDREWS RDH
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Gender | Female
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 3830 E VAN BUREN ST
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City | PHOENIX
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State | AZ
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Zip | 85008
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Country | US
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Telephone | 602-243-7277
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Fax | 602-286-0808
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Provider Business Mailing Address
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Address Line | 5523 W MILADA DR
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City | LAVEEN
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State | AZ
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Zip | 85339-5207
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Country | US
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Telephone | 845-239-5528
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 021777
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH068848
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H007002
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License Number State | AZ
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