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General NPI Number Information
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NPI Number | 1316723638
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Entity Type | Organization
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Legal Business Name | ANCHORTEES HEALTH INC
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 3315 EASTERN AVE STE 103
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City | BALTIMORE
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State | MD
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Zip | 21224-4137
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Country | US
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Telephone | 443-207-4153
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 48TH STR.
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City | BLADENSBURG
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State | MD
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Zip | 20710
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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 | CEO
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Name | ADEYEMI AWOLESI
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Credential |
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Telephone | 443-207-4153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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