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General NPI Number Information
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NPI Number | 1558595504
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Entity Type | Organization
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Legal Business Name | ANNA HOME HEALTH AGENCY, CORP
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 8130 BAYMEADOWS CIR W SUITE 107
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City | JACKSONVILLE
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State | FL
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Zip | 32256-1880
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Country | US
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Telephone | 904-733-4471
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Fax | 904-733-4472
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Provider Business Mailing Address
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Address Line | 3105 S MERIDIAN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73119-1022
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Country | US
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Telephone | 405-947-7700
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Fax | 405-947-7300
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | ROBERT LEE PETERS
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Credential |
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Telephone | 405-947-7700
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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 |
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License Number State |
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