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General NPI Number Information
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NPI Number | 1063538742
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Entity Type | Organization
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Legal Business Name | PIEDMONT HEALTH SERVICES, INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 221 N GRAHAM HOPEDALE RD
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City | BURLINGTON
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State | NC
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Zip | 27217-2971
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Country | US
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Telephone | 336-532-0414
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Fax | 336-570-3752
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Provider Business Mailing Address
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Address Line | 221 N GRAHAM HOPEDALE RD
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City | BURLINGTON
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State | NC
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Zip | 27217-2971
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Country | US
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Telephone | 336-532-0414
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Fax | 336-570-3752
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Authorized Official
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Title or Position | CFO
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Name | LYDIA F. MASON
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Credential |
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Telephone | 919-933-8494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15707
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 06027
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License Number State | NC
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