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General NPI Number Information
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NPI Number | 1962981829
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Entity Type | Organization
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Legal Business Name | ANCHOR HEALTHCARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 08/11/2018
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 5230 CLARK AVE STE 31
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City | LAKEWOOD
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State | CA
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Zip | 90712-2668
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Country | US
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Telephone | 562-541-8240
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Fax | 562-452-0447
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Provider Business Mailing Address
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Address Line | 22470 DENKER AVE
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City | TORRANCE
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State | CA
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Zip | 90501-4223
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Country | US
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Telephone | 424-558-2998
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Fax |
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Authorized Official
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Title or Position | CEO/NURSE PRACTITIONER
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Name | KARL LEXTER REYES
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Credential | NP
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Telephone | 424-558-2998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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