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Individual
DEREK ANDERSON
Active
Individual
DEREK ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
2010014757
NULL
251E00000X
Home Health Agency
Primary
2010014757
MO
332BC3200X
Customized Equipment (DME)
2010014757
MO
343900000X
Non-emergency Medical Transport (VAN)
2010014757
MO
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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