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General NPI Number Information
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NPI Number | 1144343286
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Entity Type | Organization
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Legal Business Name | ANILA'S HOME CARE
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 3480 LORD BARANOF DR.
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City | WASILLA
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State | AK
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Zip | 99654
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Country | US
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Telephone | 907-376-0162
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 871376
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City | WASILLA
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State | AK
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Zip | 99687-1376
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANILA ISLAMI
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Credential |
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Telephone | 907-376-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 100451
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License Number State | AK
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