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General NPI Number Information
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NPI Number | 1255201034
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Entity Type | Individual
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Provider Name | NICOLAUS RICHARD ANSCHUTZ RPH
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Gender | Male
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 901 BITTERS RD
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2368
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Country | US
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Telephone | 210-496-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 FAWN CRST
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City | SAN ANTONIO
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State | TX
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Zip | 78248-1315
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Country | US
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Telephone | 210-291-9591
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 76619
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License Number State | TX
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