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General NPI Number Information
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NPI Number | 1639489768
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Entity Type | Individual
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Provider Name | ANITA JOEL PANKEY LPN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 3680 KIRKWOOD RD
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City | COLUMBUS
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State | OH
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Zip | 43227-3344
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Country | US
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Telephone | 614-783-8756
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Fax |
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Provider Business Mailing Address
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Address Line | 3680 KIRKWOOD RD
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City | COLUMBUS
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State | OH
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Zip | 43227-3344
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Country | US
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Telephone | 614-783-8756
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Fax | 614-725-0945
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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 |
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License Number State |
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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 | 400445700105
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN 1319973
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License Number State | OH
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