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General NPI Number Information
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NPI Number | 1346014271
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Entity Type | Organization
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Legal Business Name | ANCHOR FAMILY SERVICES, INC
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Dates
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Enumeration Date | 11/10/2023
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 2231 RIDGE RD STE 101
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City | ROCKWALL
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State | TX
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Zip | 75087-5150
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Country | US
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Telephone | 972-415-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 132 PLEASANT HILL LN
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City | FATE
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State | TX
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Zip | 75189-5022
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Country | US
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Telephone | 972-415-8220
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. AMANDA TIMOTEO
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Credential | LCSW, LCPAA
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Telephone | 972-415-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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