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General NPI Number Information
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NPI Number | 1972920551
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Entity Type | Individual
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Provider Name | MATTHEW CRAIG ANDREWS PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 14029 RT. 42
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City | MUNCY VALLEY
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State | PA
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Zip | 17758
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Country | US
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Telephone | 570-525-3945
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Fax | 570-525-3954
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Provider Business Mailing Address
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Address Line | P.O. BOX 373
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City | EAGLES MERE
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State | PA
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Zip | 17731
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Country | US
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Telephone | 570-525-3945
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Fax | 570-525-3954
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT07995L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | PA
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