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General NPI Number Information
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NPI Number | 1578935474
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Entity Type | Organization
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Legal Business Name | AFLAC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 110 TREALOUT DR SUITE 202
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City | FENTON
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State | MI
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Zip | 48430-3211
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Country | US
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Telephone | 810-750-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 228 PARK LN
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City | LINDEN
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State | MI
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Zip | 48451-9005
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Country | US
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Telephone | 810-869-4849
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Fax |
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Authorized Official
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Title or Position | SALES
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Name | MS. ELIZABETH MARY ELLIOTT
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Credential |
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Telephone | 810-869-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 974720
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License Number State | MI
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