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General NPI Number Information
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NPI Number | 1598395352
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Entity Type | Organization
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Legal Business Name | ANEW CASE MANAGEMENT GROUP
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 3913 SABINE AVE
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City | TEXARKANA
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State | TX
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Zip | 75503-2840
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Country | US
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Telephone | 903-224-5816
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Fax | 903-307-5401
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Provider Business Mailing Address
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Address Line | 3913 SABINE AVE
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City | TEXARKANA
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State | TX
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Zip | 75503-2840
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Country | US
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Telephone | 903-224-5816
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Fax | 903-307-5401
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Authorized Official
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Title or Position | OWNER
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Name | MS. REGINA DESHAE KAISER
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Credential | LMSW
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Telephone | 903-224-5816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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