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General NPI Number Information
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NPI Number | 1932584653
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Entity Type | Individual
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Provider Name | ANDRUMEDIA ARTI FIELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 110 ALBANY TPKE STE 209
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City | CANTON
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State | CT
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Zip | 06019-2549
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Country | US
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Telephone | 860-693-4060
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Fax | 860-693-6435
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 300
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1069
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Country | US
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Telephone | 630-725-2730
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Fax | 844-205-5691
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003386
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License Number State | CT
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