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General NPI Number Information
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NPI Number | 1235462474
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Entity Type | Individual
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Provider Name | ANNE ANSTEAD ANSTEAD LPN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 2250 WEHRLE DR SUITE 1
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7034
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Country | US
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Telephone | 716-276-2123
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Fax | 716-276-2129
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Provider Business Mailing Address
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Address Line | 3193 ROLAND DR
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City | NEWFANE
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State | NY
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Zip | 14108-9720
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Country | US
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Telephone | 716-778-7363
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Fax |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 267052
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License Number State | NY
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