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General NPI Number Information
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NPI Number | 1548505225
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Entity Type | Organization
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Legal Business Name | ANNIE'S ANGLES
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 408 E BUTLER RD SUITE C
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City | MAULDIN
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State | SC
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Zip | 29662-3249
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Country | US
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Telephone | 864-335-8224
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Fax |
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Provider Business Mailing Address
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Address Line | 408 E BUTLER RD SUITE C
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City | MAULDIN
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State | SC
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Zip | 29662-3249
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Country | US
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Telephone | 864-335-8224
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROBBIN HAIRSTON
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Credential |
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Telephone | 614-446-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 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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