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General NPI Number Information
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NPI Number | 1063090058
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Entity Type | Organization
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Legal Business Name | PEOPLE'S ACCESS OF NORTH CAROLINA LLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 8011 N POINT BLVD STE B
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3244
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Country | US
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Telephone | 336-355-8666
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Fax |
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Provider Business Mailing Address
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Address Line | 8011 N POINT BLVD STE B
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3244
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Country | US
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Telephone | 336-355-8666
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVIDA LENNON
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Credential | LCSWA
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Telephone | 336-355-8666
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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