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General NPI Number Information
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NPI Number | 1841783875
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Entity Type | Individual
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Provider Name | ANNA TOTHEROW PT DPT CBS
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 3115 NIMBLEWILL CHURCH RD
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City | DAHLONEGA
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State | GA
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Zip | 30533-3798
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Country | US
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Telephone | 678-208-8779
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 NIMBLEWILL CHURCH RD
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City | DAHLONEGA
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State | GA
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Zip | 30533-3798
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Country | US
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Telephone | 770-910-2259
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT013412
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License Number State | GA
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