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General NPI Number Information
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NPI Number | 1326900960
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALTH PARTNERS INC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 280 ANN ST NW STE 200
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-2016
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Country | US
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Telephone | 448-488-2912
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Fax |
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Provider Business Mailing Address
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Address Line | 201 PERDUE RD
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City | QUITMAN
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State | GA
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Zip | 31643-3651
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Country | US
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Telephone | 229-546-7153
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | FALLON HARRIS
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Credential |
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Telephone | 229-546-7153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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