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General NPI Number Information
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NPI Number | 1801417613
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Entity Type | Individual
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Provider Name | ANDREA NICOLE LITTLEFIELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 800 OAK RIDGE TPKE STE 101
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City | OAK RIDGE
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State | TN
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Zip | 37830-6957
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Country | US
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Telephone | 865-483-1093
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Fax |
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Provider Business Mailing Address
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Address Line | 10200 GRAND CENTRAL AVE STE 220
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4366
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 4249
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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