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NPI 1891031597

NPI 1891031597 : MR. ROBERT LOUIS ANASTASIA : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1891031597
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    Entity Type          |    Individual 
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    Provider Name        |    MR. ROBERT LOUIS ANASTASIA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/27/2012
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    Last Update Date     |    12/27/2012
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Provider Practice Location Address
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    Address Line         |    4101 GREENBRIAR ST SUITE 235
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77098-5294
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    Country              |    US
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    Telephone            |    713-521-1700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    943 LAMONTE LN 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77018-4439
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    Country              |    US
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    Telephone            |    832-978-4161
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    28524
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    License Number State |    TX
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