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General NPI Number Information
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NPI Number | 1982988432
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Entity Type | Individual
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Provider Name | ANDREW STEVE HUANG-PACHECO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 3306 N 164TH ST
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City | OMAHA
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State | NE
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Zip | 68116
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Country | US
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Telephone | 612-800-1627
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Fax |
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Provider Business Mailing Address
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Address Line | 3306 N 164TH ST
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City | OMAHA
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State | NE
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Zip | 68116-2002
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Country | US
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Telephone | 612-800-1627
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 27433
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 14903
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License Number State | FL
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