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General NPI Number Information
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NPI Number | 1164143996
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Entity Type | Organization
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Legal Business Name | MECKLENBURG COUNTY
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 430 STITT ROAD MECKLENBURG COUNTY PUBLIC HEALTH DEPARTMENT
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City | CHARLOTTE
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State | NC
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Zip | 28213
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Country | US
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Telephone | 704-336-6400
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Fax | 704-432-0217
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Provider Business Mailing Address
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Address Line | 249 BILLINGSLEY RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1003
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Country | US
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Telephone | 980-314-9126
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Fax |
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | DR. RAYNARD E WASHINGTON
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Credential |
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Telephone | 980-579-0671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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