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General NPI Number Information
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NPI Number | 1851989289
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Entity Type | Individual
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Provider Name | ANDREW MULDERMANS DC
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Gender | Male
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 2953 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-2705
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Country | US
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Telephone | 336-763-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 315 PISGAH CHURCH RD APT 3J
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City | GREENSBORO
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State | NC
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Zip | 27455-2793
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Country | US
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Telephone | 558-919-9088
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5266
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License Number State | NC
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