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General NPI Number Information
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NPI Number | 1902148810
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH BANDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 1805 FILLMORE ST APT 304
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City | SAN FRANCISCO
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State | CA
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Zip | 94115
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Country | US
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Telephone | 765-430-2941
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 FILLMORE ST APT 304
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-6123
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Country | US
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Telephone | 765-430-2941
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 036140369
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A154150
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License Number State | CA
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