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Individual
ANTHONY ANTCZAK
Active
Individual
ANTHONY ANTCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHCM
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F25-127194
UT
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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