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NPI 1831312438

NPI 1831312438 : ANDREW HESTER : FORT PAYNE, AL

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General NPI Number Information
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    NPI Number           |    1831312438
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW HESTER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/11/2007
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    Last Update Date     |    04/08/2024
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Provider Practice Location Address
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    Address Line         |    1411 OLD WATER WORKS RD SW 
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    City                 |    FORT PAYNE
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    State                |    AL
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    Zip                  |    35968-3353
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    Country              |    US
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    Telephone            |    256-979-1550
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    Fax                  |    256-979-1576
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Provider Business Mailing Address
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    Address Line         |    1411 OLD WATER WORKS RD SW 
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    City                 |    FORT PAYNE
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    State                |    AL
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    Zip                  |    35968-3353
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    Country              |    US
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    Telephone            |    256-979-1550
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    Fax                  |    256-979-1576
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    2017-02584
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    License Number State |    NC
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