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General NPI Number Information
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NPI Number | 1740651066
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Entity Type | Organization
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Legal Business Name | ANCHORCARE OF FLORIDA, INC
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 1693 MAIN ST SUITE A
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City | SARASOTA
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State | FL
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Zip | 34236-5864
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Country | US
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Telephone | 941-225-2374
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Fax | 941-366-0033
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Provider Business Mailing Address
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Address Line | 1693 MAIN ST SUITE A
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City | SARASOTA
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State | FL
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Zip | 34236-5864
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Country | US
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Telephone | 941-225-2374
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Fax | 941-366-0033
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Authorized Official
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Title or Position | COO
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Name | MAUREEN TERWILLIGER
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Credential |
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Telephone | 941-225-2374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | FL
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