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General NPI Number Information
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NPI Number | 1932497807
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Entity Type | Organization
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Legal Business Name | JOHN M. ANDERSEN M.D.
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 933 N CHARLOTTE ST SUITE 3-A
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City | POTTSTOWN
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State | PA
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Zip | 19464-3974
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Country | US
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Telephone | 610-323-9052
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Fax | 610-323-3085
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Provider Business Mailing Address
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Address Line | 933 N CHARLOTTE ST SUITE 3-A
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City | POTTSTOWN
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State | PA
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Zip | 19464-3974
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Country | US
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Telephone | 610-323-9052
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Fax | 610-323-3085
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LEANNE ANDERSEN
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Credential |
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Telephone | 610-718-0165
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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 | MD039149E
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License Number State | PA
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