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NPI 1528590353

NPI 1528590353 : ANCHOR THERAPY SERVICES : SARALAND, AL

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General NPI Number Information
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    NPI Number           |    1528590353
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANCHOR THERAPY SERVICES 
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Dates
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    Enumeration Date     |    03/30/2017
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    Last Update Date     |    03/30/2017
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Provider Practice Location Address
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    Address Line         |    400C SARALAND BLVD N 
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    City                 |    SARALAND
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    State                |    AL
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    Zip                  |    36571-2152
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    Country              |    US
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    Telephone            |    251-554-9596
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 332 
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    City                 |    SARALAND
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    State                |    AL
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    Zip                  |    36571-0332
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    Country              |    US
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    Telephone            |    251-554-9596
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     TASHA L ROWELL 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    251-554-9596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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