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General NPI Number Information
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NPI Number | 1720315823
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Entity Type | Organization
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Legal Business Name | ANNA'S ASSISTING PC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 4401 E TUSCANY AVE
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City | NAMPA
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State | ID
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Zip | 83686-5082
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Country | US
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Telephone | 208-880-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 E TUSCANY AVE
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City | NAMPA
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State | ID
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Zip | 83686-5082
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Country | US
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Telephone | 208-880-0204
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Fax |
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Authorized Official
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Title or Position | CERTIFIED FIRST ASSIST
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Name | ANNA MAE STOIA
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Credential | CST, CFA
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Telephone | 208-880-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 117520
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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