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General NPI Number Information
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NPI Number | 1447809884
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Entity Type | Individual
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Provider Name | ANTHONY VISCON APRN
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Gender | Male
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2425 S TELSHOR BLVD
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City | LAS CRUCES
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State | NM
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Zip | 88011-5049
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Country | US
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Telephone | 575-249-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 841 GOLD BEACH DR
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City | CANUTILLO
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State | TX
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Zip | 79835-8466
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Country | US
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Telephone | 915-630-9266
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP142909
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 62727
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | AP142909
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP142909
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP142909
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License Number State | TX
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