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NPI Code Detail

MEDICARE: RICHARD ANDERS

MEDICARE: RICHARD ANDERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistAS 4825FL

General Provider Information

NPI Number : 1922448125
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ANDERS
Provider Business Mailing Address
First Line : 2510 E SUNSET RD
Second Line : UNIT 5-260
City : LAS VEGAS
State : NV
Zip : 89120-3511
Country : US
Telephone Number : 702-798-0113
Fax Number : 866-291-5242
Provider Business Practice Location Address
First Line : 390 N COURTENAY PKWY
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-3456
Country : US
Telephone Number : 321-453-7800
Fax Number : 321-453-7801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2013
Last Update Date : 07/02/2013

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