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General NPI Number Information
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NPI Number | 1043890817
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Entity Type | Organization
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Legal Business Name | ANAC. P.C.
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 108 JOSHUA RD
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City | WEATHERFORD
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State | TX
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Zip | 76087-6036
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Country | US
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Telephone | 281-265-1776
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Fax | 239-215-0065
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Provider Business Mailing Address
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Address Line | PO BOX 62428
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City | FORT MYERS
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State | FL
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Zip | 33906-2428
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Country | US
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Telephone | 281-265-1776
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Fax | 239-215-0065
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL WOLINSKY
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Credential | M.D.
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Telephone | 281-265-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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