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General NPI Number Information
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NPI Number | 1053318915
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Entity Type | Individual
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Provider Name | ANNE E ACREMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 4222 WENDOVER AVE SUITE 400
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City | ODESSA
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State | TX
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Zip | 79762-5945
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Country | US
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Telephone | 432-367-8080
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Fax | 432-366-8443
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Provider Business Mailing Address
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Address Line | 7101 EASTRIDGE RD
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City | ODESSA
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State | TX
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Zip | 79765-8919
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Country | US
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Telephone | 432-367-8080
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Fax | 432-366-8443
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G3100
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License Number State | TX
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