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General NPI Number Information
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NPI Number | 1548306665
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Entity Type | Organization
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Legal Business Name | ANODON, INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 408 VIRGINIA AVE SUITE B
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City | LOUISVILLE
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State | KY
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Zip | 40222-4722
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Country | US
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Telephone | 502-420-9911
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Fax | 502-420-9996
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Provider Business Mailing Address
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Address Line | 408 VIRGINIA AVE SUITE B
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City | LOUISVILLE
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State | KY
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Zip | 40222-4722
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Country | US
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Telephone | 502-420-9911
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Fax | 502-420-9996
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Authorized Official
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Title or Position | OWNER
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Name | DONA JOY AIREY
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Credential | LCSW, LMT
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Telephone | 502-420-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | KY-638
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | KY-1933
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License Number State | KY
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