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General NPI Number Information
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NPI Number | 1700289428
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Entity Type | Organization
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Legal Business Name | LATONYA LEE NIANG & ASSOCIATES
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 3972 BUSINESS 17 E STE E
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City | BOLIVIA
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State | NC
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Zip | 28422-9029
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Country | US
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Telephone | 866-338-1851
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Fax |
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Provider Business Mailing Address
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Address Line | 600 16TH AVE N STE 3
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-3536
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Country | US
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Telephone | 866-338-1851
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LATONYA LEE NIANG
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Credential | EDD
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Telephone | 888-959-0224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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