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General NPI Number Information
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NPI Number | 1811175656
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Entity Type | Organization
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Legal Business Name | GERALD ANAKWENZE
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 15330 LBJ FWY #1061
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City | MESQUITE
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State | TX
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Zip | 75150-1223
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Country | US
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Telephone | 310-529-4823
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Fax | 310-872-5317
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Provider Business Mailing Address
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Address Line | 1515 N TOWN EAST BLVD #138-248
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City | MESQUITE
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State | TX
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Zip | 75150-4157
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Country | US
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Telephone | 310-529-4823
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Fax | 310-872-5317
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Authorized Official
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Title or Position | OWNER
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Name | GERALD ANAKWENZE
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Credential |
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Telephone | 310-529-4823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1000093
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License Number State | TX
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