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General NPI Number Information
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NPI Number | 1891757324
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Entity Type | Individual
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Provider Name | GEORGE CHARLES ANDREWS R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 407 E 3RD ST
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City | DULUTH
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State | MN
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Zip | 55805-1950
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Country | US
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Telephone | 218-786-4157
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Fax | 218-786-7375
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Provider Business Mailing Address
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Address Line | 2015 KENWOOD DR
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City | DULUTH
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State | MN
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Zip | 55811-1600
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Country | US
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Telephone | 218-786-4157
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Fax | 218-786-7375
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 112031-6
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License Number State | MN
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