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General NPI Number Information
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NPI Number | 1538810700
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Entity Type | Organization
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Legal Business Name | ANDERSON FAMILY CARE LLC
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 119 W WASHINGTON ST
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City | DEMOPOLIS
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State | AL
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Zip | 36732-2043
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Country | US
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Telephone | 334-328-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 119 W WASHINGTON ST
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City | DEMOPOLIS
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State | AL
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Zip | 36732-2043
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Country | US
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Telephone | 334-654-5080
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BRITTNEY T ANDERSON
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Credential | M.D.
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Telephone | 334-654-5080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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