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General NPI Number Information
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NPI Number | 1659258994
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Entity Type | Individual
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Provider Name | ANTHONY MASTROFILIPPO BSN RN
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 670 W FIREWEED LN
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City | ANCHORAGE
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State | AK
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Zip | 99503-2562
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Country | US
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Telephone | 840-260-0857
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 NE 6TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33909-0810
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Country | US
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Telephone | 973-600-5599
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 242046
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License Number State | AK
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