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General NPI Number Information
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NPI Number | 1871312900
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Entity Type | Organization
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Legal Business Name | ANNABELLE FIELDS WELLNESS CENTER INC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 740 MARCUS NYAH CT
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City | COLLEGE PARK
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State | GA
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Zip | 30349-4048
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Country | US
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Telephone | 513-704-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 740 MARCUS NYAH CT
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City | COLLEGE PARK
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State | GA
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Zip | 30349-4048
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Country | US
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Telephone | 513-704-4788
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. JAIMEE KENYATTA COLVIN
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Credential | APRN
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Telephone | 513-704-4788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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