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General NPI Number Information
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NPI Number | 1396748737
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Entity Type | Organization
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Legal Business Name | ANCHOR HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 12/16/2009
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Provider Practice Location Address
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Address Line | 1351 SILHAVY RD. SUITE 200
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City | VALPARAISO
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State | IN
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Zip | 46383-9513
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Country | US
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Telephone | 219-662-3500
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Fax | 219-246-2544
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Provider Business Mailing Address
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Address Line | 1351 SILHAVY RD. SUITE 200
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City | VALPARAISO
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State | IN
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Zip | 46383-9513
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Country | US
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Telephone | 219-662-3500
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Fax | 219-246-2544
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHELLY WILSON
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Credential |
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Telephone | 219-662-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04-005336-1
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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