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General NPI Number Information
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NPI Number | 1497053920
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Entity Type | Organization
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Legal Business Name | ANP GROUP LLC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 03/08/2011
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Provider Practice Location Address
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Address Line | 5335 MAIN ST
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2510
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Country | US
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Telephone | 727-845-8000
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Fax | 727-845-8008
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Provider Business Mailing Address
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Address Line | 5335 MAIN STREET
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City | NEWPORT RICHEY
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State | FL
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Zip | 34653
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Country | US
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Telephone | 727-845-8000
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Fax | 727-845-8008
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | BIJU ERALY VARGHESE
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Credential | RPH
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Telephone | 727-845-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH25114
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License Number State | FL
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