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General NPI Number Information
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NPI Number | 1851646285
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Entity Type | Organization
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Legal Business Name | ANTHONY ANUNWA MD PA
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 1600 N LORRAINE ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-5670
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Country | US
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Telephone | 620-663-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 N LORRAINE ST
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City | HUTCHINSON
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State | KS
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Zip | 67501-5670
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Country | US
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Telephone | 620-663-7595
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Fax |
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Authorized Official
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Title or Position | CREDENTIALS COORDINATOR
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Name | JUDY FITCH
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Credential |
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Telephone | 913-851-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 0800288
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License Number State | KS
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