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General NPI Number Information
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NPI Number | 1801706122
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Entity Type | Individual
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Provider Name | ANA O'NEAL
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 225 N HAPPY VALLEY RD
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City | NAMPA
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State | ID
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Zip | 83687-8589
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Country | US
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Telephone | 208-831-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 E VICTORIA FALLS DR
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City | NAMPA
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State | ID
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Zip | 83686-1032
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Country | US
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Telephone | 310-504-4554
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 6811095
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License Number State | ID
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