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General NPI Number Information
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NPI Number | 1114868718
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Entity Type | Organization
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Legal Business Name | CAPITAL HEALING LIFESTYLE MEDICINE, PLLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 1502 W. NC-54 HWY. SUITE 405
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City | DURHAM
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State | NC
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Zip | 27707
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Country | US
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Telephone | 614-214-6029
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 W. NC-54 HWY. SUITE 405
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City | DURHAM
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State | NC
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Zip | 27707
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Country | US
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Telephone | 614-214-6029
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | ANGELA RENEE LIPSCOMB-HUDSON
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Credential | MD
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Telephone | 614-214-6029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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