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General NPI Number Information
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NPI Number | 1992838585
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Entity Type | Organization
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Legal Business Name | JOHN M. ANDREWS, D.M.D., P. A .
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 1705 GARDEN ST
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City | TITUSVILLE
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State | FL
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Zip | 32796-5002
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Country | US
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Telephone | 321-267-2727
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Fax | 321-267-0944
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Provider Business Mailing Address
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Address Line | 1705 GARDEN ST
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City | TITUSVILLE
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State | FL
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Zip | 32796-5002
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Country | US
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Telephone | 321-267-2727
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Fax | 321-267-0944
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOHN MITCHELL ANDREWS
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Credential | DMD
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Telephone | 321-267-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN11924
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License Number State | FL
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