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General NPI Number Information
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NPI Number | 1578510632
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Entity Type | Organization
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Legal Business Name | ANEX, S.C.
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-754-7245
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Fax |
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Provider Business Mailing Address
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Address Line | BIN 88836
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City | MILWAUKEE
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State | WI
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Zip | 53288-0001
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Country | US
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Telephone | 262-754-7245
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TIMOTHY TROTIER
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Credential | M.D.
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Telephone | 262-751-5956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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