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General NPI Number Information
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NPI Number | 1992840003
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Entity Type | Organization
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Legal Business Name | ANSON REGIONAL MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 203 SALISBURY ST
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City | WADESBORO
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State | NC
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Zip | 28170-2155
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Country | US
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Telephone | 704-694-6700
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Fax | 704-695-1227
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Provider Business Mailing Address
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Address Line | PO BOX 192 203 SALISBURY STREET
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City | WADESBORO
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State | NC
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Zip | 28170-0192
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Country | US
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Telephone | 704-694-6700
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Fax | 704-694-5454
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. GWENDOLYN REED
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Credential | MPA,RHIT
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Telephone | 704-694-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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