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General NPI Number Information
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NPI Number | 1861408262
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Entity Type | Individual
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Provider Name | HEATHER ANDREJKO D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3304 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34205-3608
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Country | US
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Telephone | 941-756-6898
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34205-3608
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Country | US
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Telephone | 941-756-6898
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN15802
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License Number State | FL
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