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General NPI Number Information
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NPI Number | 1942835285
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Entity Type | Individual
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Provider Name | ANDREW PIERCE
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Gender | Male
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 2165 WOODLANE DR STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-3051
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Country | US
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Telephone | 651-424-1967
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Fax | 651-424-1967
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Provider Business Mailing Address
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Address Line | 506 E SOUTHFORK DR
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City | DRAPER
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State | UT
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Zip | 84020-8783
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Country | US
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Telephone | 310-770-9286
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH21841
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13251407-6004
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC04585
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MCAP100777
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License Number State | FL
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