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General NPI Number Information
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NPI Number | 1871794610
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Entity Type | Organization
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Legal Business Name | ANDREW R BOLMANN MD PC
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 2195 E HIGH ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-3235
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Country | US
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Telephone | 610-323-6077
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Fax | 610-323-2760
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Provider Business Mailing Address
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Address Line | 2195 E HIGH ST
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City | POTTSTOWN
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State | PA
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Zip | 19464-3235
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Country | US
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Telephone | 610-323-6077
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Fax | 610-323-2760
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW R BOLMANN
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Credential | MD
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Telephone | 610-323-6077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD011574E
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License Number State | PA
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