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General NPI Number Information
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NPI Number | 1912450628
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Entity Type | Individual
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Provider Name | ANDREW S ONG APRN-CNP
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Gender | Male
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 3243 SOUTHMOST RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4857
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Country | US
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Telephone | 956-832-3993
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Fax | 818-322-0144
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Provider Business Mailing Address
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Address Line | 3243 SOUTHMOST RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4857
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Country | US
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Telephone | 956-545-0818
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Fax | 818-322-0144
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 131597
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 131597
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 131597
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License Number State | TX
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