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General NPI Number Information
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NPI Number | 1265123111
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Entity Type | Individual
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Provider Name | ANNA SABINA ARIAS
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Gender | Female
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Dates
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Enumeration Date | 05/19/2023
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 201 KIMBERLY WAY STE 102
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City | CANTON
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State | GA
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Zip | 30114-8009
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Country | US
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Telephone | 770-333-7888
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Fax | 770-333-7889
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Provider Business Mailing Address
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Address Line | 3968 FELTON HILL RD SW STE 100
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City | SMYRNA
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State | GA
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Zip | 30082-3522
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Country | US
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Telephone | 770-333-7888
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Fax | 770-333-7889
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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