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General NPI Number Information
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NPI Number | 1013713866
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Entity Type | Organization
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Legal Business Name | MODERN VUE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 9635 SOUTHERN PINE BLVD STE 146
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City | CHARLOTTE
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State | NC
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Zip | 28273-5564
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Country | US
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Telephone | 833-412-3356
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Fax | 980-381-4563
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Provider Business Mailing Address
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Address Line | 219 CUMBERLAND AVE
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City | RAEFORD
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State | NC
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Zip | 28376-1857
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Country | US
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Telephone | 919-423-2277
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CORY T FRANCIS
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Credential |
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Telephone | 919-423-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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