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General NPI Number Information
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NPI Number | 1649540105
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Entity Type | Organization
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Legal Business Name | ANSON REGIONAL MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 12/30/2011
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 1328 PATTERSON ST
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City | MONROE
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State | NC
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Zip | 28112-4348
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Country | US
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Telephone | 704-694-6700
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Fax | 704-695-1227
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Provider Business Mailing Address
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Address Line | 203 SALISBURY ST
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City | WADESBORO
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State | NC
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Zip | 28170-2155
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Country | US
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Telephone | 704-694-6700
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. GWENDOLYN ELISE REED
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Credential |
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Telephone | 704-694-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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