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General NPI Number Information
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NPI Number | 1962454850
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Entity Type | Individual
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Provider Name | JOHN ARTHUR MCANDREW MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 2559 MEDICAL DR SUITE D
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8703
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Country | US
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Telephone | 575-434-2229
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Fax | 575-439-5705
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Provider Business Mailing Address
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Address Line | 2559 MEDICAL DR SUITE D
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City | ALAMOGORDO
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State | NM
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Zip | 88310-8703
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Country | US
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Telephone | 575-434-2229
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Fax | 575-439-5705
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 178447
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License Number State | NY
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