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General NPI Number Information
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NPI Number | 1770872293
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Entity Type | Organization
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Legal Business Name | ANZHANES PLACE, INC
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 1264 HIGHVIEW DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-5454
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Country | US
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Telephone | 419-536-7629
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Fax |
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Provider Business Mailing Address
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Address Line | 1264 HIGHVIEW DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-5454
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL ZEIGLER SR
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Credential |
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Telephone | 419-973-7629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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