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General NPI Number Information
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NPI Number | 1790305191
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Entity Type | Organization
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Legal Business Name | ANCHORS AWAY THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 04/26/2020
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Last Update Date | 04/26/2020
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Provider Practice Location Address
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Address Line | 3901 RIVERWALK CT
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City | BRADENTON
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State | FL
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Zip | 34208-8052
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Country | US
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Telephone | 817-718-3198
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 RIVERWALK CT
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City | BRADENTON
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State | FL
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Zip | 34208-8052
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Country | US
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Telephone | 817-718-3198
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. MICHELLE RENE EARNEST
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Credential | MA, CCC-SLP
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Telephone | 817-718-3198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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