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General NPI Number Information
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NPI Number | 1700343514
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Entity Type | Organization
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Legal Business Name | ANCHOR ERUPTION ENTERPRISES LLC
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 9500 INDEPENDENCE DR STE 700
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City | ANCHORAGE
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State | AK
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Zip | 99507-4640
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Country | US
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Telephone | 907-770-1152
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Fax | 907-770-1153
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Provider Business Mailing Address
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Address Line | 9500 INDEPENDENCE DR STE 700
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City | ANCHORAGE
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State | AK
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Zip | 99507-4640
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Country | US
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Telephone | 907-770-1152
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Fax | 907-770-1153
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Authorized Official
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Title or Position | CMO/OWNER
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Name | DR. SHAMSIDEEN OLAMITUNDE MUSA
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Credential | MD
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Telephone | 907-771-8178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) 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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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