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General NPI Number Information
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NPI Number | 1831595917
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Entity Type | Organization
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Legal Business Name | ANDREWS DENTAL LABORATORIES INC
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/17/2014
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Provider Practice Location Address
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Address Line | 1338 N CHAPEL ST SUITE 3
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City | LOUISVILLE
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State | OH
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Zip | 44641-2407
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Country | US
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Telephone | 330-875-2222
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Fax | 330-232-9595
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Provider Business Mailing Address
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Address Line | 1338 N CHAPEL ST SUITE 3
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City | LOUISVILLE
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State | OH
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Zip | 44641-2407
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Country | US
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Telephone | 330-875-2222
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Fax | 330-232-9595
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW BIDDE
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Credential |
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Telephone | 330-875-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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