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General NPI Number Information
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NPI Number | 1831123108
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Entity Type | Individual
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Provider Name | VICKIE J ANDERSON DDS
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 121 DONOHOE RD
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City | GREENSBURG
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State | PA
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Zip | 15601-6986
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Country | US
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Telephone | 724-836-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 BUTE RD
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City | DUNBAR
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State | PA
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Zip | 15431-2240
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Country | US
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Telephone | 724-438-8393
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS027829L
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License Number State | PA
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