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General NPI Number Information
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NPI Number | 1023782711
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Entity Type | Organization
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Legal Business Name | ANCHORWORK INC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 8009 34TH AVE S STE 1225
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1608
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Country | US
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Telephone | 518-469-2843
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Fax | 612-452-5441
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Provider Business Mailing Address
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Address Line | 8009 34TH AVE S STE 1225
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1608
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Country | US
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Telephone | 518-469-2843
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Fax | 612-452-5441
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Authorized Official
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Title or Position | CEO
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Name | MR. NATHAN BRUSCHI
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Credential |
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Telephone | 612-787-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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