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General NPI Number Information
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NPI Number | 1801444252
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Entity Type | Individual
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Provider Name | ANITRA LANETTE GERMANY PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2460 CURTIS ELLIS DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2237
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Country | US
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Telephone | 828-456-7311
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Fax | 252-962-3320
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Provider Business Mailing Address
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Address Line | 1512 JOSHUA RUN RD
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City | COLUMBUS
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State | OH
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Zip | 43232-6465
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Country | US
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Telephone | 614-371-6047
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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