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General NPI Number Information
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NPI Number | 1306414131
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Entity Type | Individual
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Provider Name | CLAUDIA OMOH AYONOTE
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Gender | Female
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 1556 GRANBY LN
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City | LOCUST GROVE
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State | GA
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Zip | 30248-7042
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Country | US
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Telephone | 770-744-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 1556 GRANBY LN
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City | LOCUST GROVE
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State | GA
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Zip | 30248-7042
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Country | US
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Telephone | 770-744-2606
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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