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General NPI Number Information
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NPI Number | 1558500314
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Entity Type | Individual
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Provider Name | JOYCE AFRIYIE ADMINISTRATOR
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 1411 WYNTHROPE COVE
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City | RIVERDALE
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State | GA
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Zip | 30274-5145
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Country | US
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Telephone | 404-781-8448
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 743592
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City | RIVERDALE
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State | GA
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Zip | 30274-1362
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Country | US
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Telephone | 404-781-8448
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 060-R-0484
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License Number State | GA
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