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General NPI Number Information
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NPI Number | 1831475730
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Entity Type | Individual
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Provider Name | ANDREA JENNIFER CHAMCZUK MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-743-1928
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Fax | 330-744-2110
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Provider Business Mailing Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-743-1928
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Fax | 330-744-2110
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 82475
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 28190
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 35.141789
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License Number State | OH
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