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General NPI Number Information
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NPI Number | 1124665500
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Entity Type | Individual
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Provider Name | BROOKLYNN COLLEEN ANELICK
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Gender | Female
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 2190 LUNDYS LN
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City | NEWARK
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State | OH
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Zip | 43055-9543
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Country | US
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Telephone | 614-975-9023
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Fax |
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Provider Business Mailing Address
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Address Line | 2190 LUNDYS LN
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City | NEWARK
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State | OH
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Zip | 43055-9543
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Country | US
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Telephone | 614-975-9023
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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