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General NPI Number Information
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NPI Number | 1134512429
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Entity Type | Organization
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Legal Business Name | ANCHORE LABORATORIES, INC
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Dates
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Enumeration Date | 03/10/2015
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 3635 MOUNT HOLLY HUNTERSVILLE RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-8628
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Country | US
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Telephone | 336-269-4695
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 MOUNT HOLLY HUNTERSVILLE RD
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City | CHARLOTTE
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State | NC
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Zip | 28216-8628
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Country | US
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Telephone | 336-269-4695
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | CHARLES AGUNOBI
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Credential | MD
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Telephone | 704-674-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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