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General NPI Number Information
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NPI Number | 1821358839
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Entity Type | Individual
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Provider Name | ANDREA MITHAI AVONDSTONDT M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 21 COLUMBIA ST STE 100
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City | ORLANDO
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State | FL
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Zip | 32806-1133
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Country | US
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Telephone | 321-842-4810
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Fax | 321-842-4809
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Provider Business Mailing Address
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Address Line | 21 COLUMBIA ST STE 100
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City | ORLANDO
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State | FL
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Zip | 32806-1133
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Country | US
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Telephone | 321-842-4810
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Fax | 321-842-4809
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME144716
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | P27666
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | ME144716
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License Number State | FL
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