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General NPI Number Information
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NPI Number | 1154474815
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Entity Type | Organization
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Legal Business Name | METROLINA AIDS PROJECT
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 127 SCALEYBARK RD
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City | CHARLOTTE
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State | NC
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Zip | 28209-2608
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Country | US
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Telephone | 704-333-1435
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Fax | 704-602-2440
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Provider Business Mailing Address
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Address Line | PO BOX 32662
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City | CHARLOTTE
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State | NC
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Zip | 28232-2662
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Country | US
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Telephone | 704-333-1435
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Fax | 704-602-2440
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANN WHITE
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Credential |
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Telephone | 704-333-1435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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