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General NPI Number Information
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NPI Number | 1811221187
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Entity Type | Organization
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Legal Business Name | ANHEDONIA, LLC
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Dates
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Enumeration Date | 09/19/2009
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Last Update Date | 09/19/2009
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Provider Practice Location Address
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Address Line | 7595 COUNTY ROAD 236
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City | FINDLAY
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State | OH
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Zip | 45840-8738
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Country | US
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Telephone | 419-672-8981
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Fax | 419-387-7964
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Provider Business Mailing Address
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Address Line | 7595 COUNTY ROAD 236
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City | FINDLAY
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State | OH
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Zip | 45840-8738
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Country | US
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Telephone | 419-672-8981
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Fax | 419-387-7964
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANGY SHAFERLY
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Credential | R.N.
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Telephone | 419-672-8981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 35056199
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License Number State | OH
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