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General NPI Number Information
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NPI Number | 1700153509
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Entity Type | Organization
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Legal Business Name | ANM PHC, INC
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 3630 N JOSEY LN SUITE 209
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City | CARROLLTON
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State | TX
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Zip | 75007-3199
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Country | US
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Telephone | 214-234-1608
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Fax | 972-692-7990
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Provider Business Mailing Address
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Address Line | 1846 E ROSEMEADE PKWY SUITE 396
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City | CARROLLTON
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State | TX
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Zip | 75007-2637
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Country | US
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Telephone | 214-234-1608
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Fax | 972-692-7990
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANIL JOSEPH
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Credential |
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Telephone | 214-234-1608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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