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General NPI Number Information
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NPI Number | 1801050687
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Entity Type | Organization
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Legal Business Name | ANGER FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 62 BARNARD AVE
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City | ELKINS
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State | WV
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Zip | 26241-3150
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Country | US
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Telephone | 304-636-0133
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Fax | 304-637-2007
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Provider Business Mailing Address
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Address Line | PO BOX 29 ANGER FAMILY PRACTICE, PLLC
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City | ELKINS
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State | WV
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Zip | 26241-0029
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Country | US
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Telephone | 304-637-3439
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Fax | 304-637-3435
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. ERIC RAY ANGER
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Credential | M.D.
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Telephone | 304-636-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 61887
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20931
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License Number State | WV
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