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General NPI Number Information
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NPI Number | 1679119945
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Entity Type | Individual
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Provider Name | REBECCA JUNE ANSTEE APRN
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 50 S B B KING BLVD
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City | MEMPHIS
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State | TN
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Zip | 38103-9801
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Country | US
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Telephone | 773-620-1936
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Fax |
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Provider Business Mailing Address
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Address Line | 940 W GLENLAKE AVE UNIT 35D
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City | CHICAGO
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State | IL
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Zip | 60660-5908
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Country | US
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Telephone | 773-620-1936
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 277.003794
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A182884
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277.003794
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License Number State | IL
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