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General NPI Number Information
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NPI Number | 1952535130
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Entity Type | Organization
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Legal Business Name | TONY CALLAWAY AND ASSOCIATES INC
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 8315 SIX FORKS RD SUITE 101
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City | RALEIGH
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State | NC
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Zip | 27615-2941
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Country | US
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Telephone | 919-896-7679
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Fax | 919-896-7153
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Provider Business Mailing Address
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Address Line | 8315 SIX FORKS RD SUITE 101
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City | RALEIGH
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State | NC
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Zip | 27615-2941
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Country | US
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Telephone | 919-896-7679
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Fax | 919-896-7153
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY CALLAWAY
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Credential |
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Telephone | 919-896-7679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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