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NPI 1376535096

NPI 1376535096 : ERIC R. ANGER M.D. : PHILIPPI, WV

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General NPI Number Information
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    NPI Number           |    1376535096
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC R. ANGER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/18/2005
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    Last Update Date     |    01/03/2022
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Provider Practice Location Address
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    Address Line         |    1 HEALTHCARE DR 
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    City                 |    PHILIPPI
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    State                |    WV
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    Zip                  |    26416-9405
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    Country              |    US
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    Telephone            |    304-457-1760
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    Fax                  |    304-457-1516
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Provider Business Mailing Address
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    Address Line         |    1 HEALTHCARE DR 
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    City                 |    PHILIPPI
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    State                |    WV
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    Zip                  |    26416-9405
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    Country              |    US
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    Telephone            |    304-457-1760
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    Fax                  |    304-457-1516
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    BA8133655
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    License Number State |    WV
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    20931
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    License Number State |    WV
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