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General NPI Number Information
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NPI Number | 1417685439
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Entity Type | Organization
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Legal Business Name | ANNA'S HOUSE FOUNDATION
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 1101 N BRYANT AVE
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City | EDMOND
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State | OK
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Zip | 73034-3251
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Country | US
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Telephone | 405-509-2055
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Fax | 405-509-2056
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Provider Business Mailing Address
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Address Line | 1101 N BRYANT AVE
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City | EDMOND
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State | OK
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Zip | 73034-3251
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Country | US
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Telephone | 405-509-2055
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Fax | 405-509-2056
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHERINE CRAIG
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Credential |
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Telephone | 405-509-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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