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General NPI Number Information
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NPI Number | 1871477992
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Entity Type | Individual
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Provider Name | GORDON TED ANDREWS MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3600 MINNESOTA DRIVE SUITE 800
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City | EDINA
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State | MN
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Zip | 55435-7915
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Country | US
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Telephone | 952-595-1100
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Fax | 952-935-2757
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Provider Business Mailing Address
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Address Line | 1101-1690 WEST 8TH AVE
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City | VANCOUVER
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State | BC
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Zip | V6J0B1
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Country | CA
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0047857
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License Number State | CO
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