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General NPI Number Information
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NPI Number | 1518099522
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Entity Type | Organization
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Legal Business Name | ALLYN HEALTHCARE PROFESSIONALS, LLC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 5530 ANGEL OAKS DR
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City | WINSTON SALEM
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State | NC
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Zip | 27105-9112
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Country | US
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Telephone | 336-377-9190
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Fax | 336-377-2544
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Provider Business Mailing Address
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Address Line | 5530 ANGEL OAKS DR
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City | WINSTON SALEM
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State | NC
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Zip | 27105-9112
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Country | US
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Telephone | 336-377-9190
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Fax | 336-377-2544
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BOBBIETTE ALLEN DAVID
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Credential | RN
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Telephone | 336-377-9190
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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 | HC3530
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License Number State | NC
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