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General NPI Number Information
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NPI Number | 1619335957
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Entity Type | Individual
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Provider Name | RANADA DOZIER YORK
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Gender | Female
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 1382 FULTON AVE
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City | KINGSTREE
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State | SC
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Zip | 29556-2218
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Country | US
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Telephone | 843-372-0745
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Fax |
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Provider Business Mailing Address
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Address Line | 8402 ROSWELL RD APT C
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City | ATLANTA
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State | GA
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Zip | 30350-7826
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Country | US
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Telephone | 843-372-0745
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Fax |
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | SC
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