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General NPI Number Information
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NPI Number | 1598093882
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Entity Type | Individual
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Provider Name | REBA ANNTOINETTE RAMSEY-YOUNG STNA
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Gender | Female
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 1023 SOARING WAY
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City | MARIETTA
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State | GA
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Zip | 30062-2378
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Country | US
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Telephone | 419-344-1842
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Fax | 678-594-3362
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Provider Business Mailing Address
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Address Line | 1023 SOARING WAY
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City | MARIETTA
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State | GA
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Zip | 30062-2378
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Country | US
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Telephone | 419-344-1842
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Fax | 678-594-3362
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 400651000707
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | CN0014195230
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License Number State | GA
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