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General NPI Number Information
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NPI Number | 1770909384
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Entity Type | Individual
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Provider Name | ANN ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1500 N 28TH ST
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City | RICHMOND
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State | VA
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Zip | 23223-5332
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Country | US
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Telephone | 804-225-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 S 48TH ST BRYAN EAST HOSPITAL
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City | LINCOLN
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State | NE
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Zip | 68506-1283
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14355
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S019343
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202215766
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License Number State | VA
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