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General NPI Number Information
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NPI Number | 1619221033
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Entity Type | Individual
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Provider Name | MISS RENEE ANNE CRITTEN-YOUNG
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Gender | Female
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 4788 JONESBORO RD SUITE A
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City | UNION CITY
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State | GA
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Zip | 30291
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Country | US
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Telephone | 678-949-6007
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Fax | 770-892-5462
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Provider Business Mailing Address
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Address Line | 7501 NW 42ND DR.
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City | CORAL SPRINGS
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State | FL
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Zip | 33065
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Country | US
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Telephone | 678-949-6007
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Fax | 770-892-5462
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | GA
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