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General NPI Number Information
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NPI Number | 1063343556
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Entity Type | Organization
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Legal Business Name | ANCHOR HEARTS MEDICAL SUPPLIES
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Dates
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Enumeration Date | 05/26/2026
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Last Update Date | 05/26/2026
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Provider Practice Location Address
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Address Line | 1216 E LITTLE CREEK RD STE 200B
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City | NORFOLK
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State | VA
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Zip | 23518-3900
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Country | US
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Telephone | 919-247-4984
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Fax | 434-208-2397
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Provider Business Mailing Address
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Address Line | 8015 GALVESTON BLVD
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City | NORFOLK
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State | VA
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Zip | 23505-1508
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Country | US
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Telephone | 919-247-4984
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Fax | 434-208-2397
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Authorized Official
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Title or Position | DIRECTOR
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Name | RAPHERNEST ODOEMENE
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Credential | ODOEMENE
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Telephone | 919-247-4984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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