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General NPI Number Information
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NPI Number | 1871685792
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Entity Type | Individual
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Provider Name | SANDY M ANDERSON APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/17/2024
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Provider Practice Location Address
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Address Line | 7271 N MAIN ST STE 2
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City | DAYTON
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State | OH
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Zip | 45415-2561
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Country | US
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Telephone | 937-991-0082
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Fax | 937-991-0089
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Provider Business Mailing Address
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Address Line | 7271 N MAIN ST STE 2
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City | DAYTON
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State | OH
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Zip | 45415-2561
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Country | US
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Telephone | 937-991-0082
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Fax | 379-910-0089
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | RN.254376-C0A1
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | RN.254376-C0A1
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.254376-COA1
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License Number State | OH
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