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General NPI Number Information
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NPI Number | 1801577614
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Entity Type | Organization
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Legal Business Name | ANCHOR MEDICAL LLC
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 5255 WOODROW BEAN STE 8B
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City | EL PASO
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State | TX
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Zip | 79924-3831
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Country | US
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Telephone | 833-667-8669
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Fax | 833-630-0702
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Provider Business Mailing Address
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Address Line | 5255 WOODROW BEAN STE 8B
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City | EL PASO
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State | TX
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Zip | 79924-3831
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Country | US
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Telephone | 912-712-3881
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Fax | 833-630-0702
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL JOSEPH FARTHING
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Credential |
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Telephone | 912-712-3881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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