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General NPI Number Information
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NPI Number | 1053748848
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Entity Type | Organization
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Legal Business Name | GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 10/11/2013
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Last Update Date | 10/11/2013
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Provider Practice Location Address
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Address Line | 1203 MAPLE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6910
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Country | US
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Telephone | 336-641-3896
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 MAPLE ST
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City | GREENSBORO
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State | NC
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Zip | 27405-6910
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Country | US
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Telephone | 336-641-3896
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Fax |
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Authorized Official
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Title or Position | PUBLIC HEALTH NURSE
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Name | CHRISTINA BRYANT FULLWOOD
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Credential | RN
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Telephone | 336-641-3896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 233803
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License Number State | NC
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