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General NPI Number Information
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NPI Number | 1447498258
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Entity Type | Organization
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Legal Business Name | ANAYA MEDICAL, INC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 2700 VINE ST, SUITE C
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City | EL DORADO
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State | AR
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Zip | 71730
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Country | US
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Telephone | 870-864-8882
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Fax | 870-864-8865
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Provider Business Mailing Address
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Address Line | PO BOX 10505
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City | EL DORADO
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State | AR
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Zip | 71730
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Country | US
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Telephone | 870-864-8882
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Fax | 870-864-8865
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Authorized Official
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Title or Position | CEO
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Name | MRS. LORNA JAYNE ANAYA
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Credential | BSC,LGAT,CFTS
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Telephone | 870-864-8882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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