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General NPI Number Information
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NPI Number | 1922511005
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Entity Type | Individual
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Provider Name | ANTHONY FRU ANGU
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Gender | Male
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 911 MAIN ST
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City | ELTON
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State | LA
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Zip | 70532-3228
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Country | US
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Telephone | 337-584-2256
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Fax | 337-584-2499
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Provider Business Mailing Address
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Address Line | 222 FINNEGAN WAY
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City | YOUNGSVILLE
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State | LA
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Zip | 70592-6831
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Country | US
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Telephone | 443-735-6138
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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 | 27488
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License Number State | NC
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