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General NPI Number Information
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NPI Number | 1922102946
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Entity Type | Organization
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Legal Business Name | ANDERSON FAMILY HEALTH CARE, PLLC
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 360 AMSDEN AVE STE 301
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City | VERSAILLES
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State | KY
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Zip | 40383-1851
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Country | US
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Telephone | 859-873-1303
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Fax |
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Provider Business Mailing Address
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Address Line | 360 AMSDEN AVE STE 301
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City | VERSAILLES
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State | KY
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Zip | 40383-1851
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Country | US
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Telephone | 859-873-1303
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Fax |
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Authorized Official
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Title or Position | PA
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Name | CURTIS WELLING
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Credential |
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Telephone | 859-873-1303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 29823
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License Number State | KY
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