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General NPI Number Information
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NPI Number | 1669119574
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Entity Type | Organization
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Legal Business Name | ANCORA HEALTH, LLC
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 530 SPRING ST
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-8057
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Country | US
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Telephone | 206-783-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 530 SPRING ST
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-8057
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Country | US
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Telephone | 360-472-9299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AURALEE JAMESON
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Credential | RN, MSN, LICSW
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Telephone | 360-472-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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