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General NPI Number Information
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NPI Number | 1598976243
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Entity Type | Organization
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Legal Business Name | ROSS M. ANDERSON, ANCHOR PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1407 E 72ND ST SUITE A100
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City | TACOMA
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State | WA
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Zip | 98404-5906
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Country | US
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Telephone | 253-474-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 E 72ND ST SUITE A100
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City | TACOMA
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State | WA
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Zip | 98404-5906
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Country | US
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Telephone | 253-474-7474
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROSS M. ANDERSON
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Credential |
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Telephone | 253-514-8247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00007523
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License Number State | WA
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