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General NPI Number Information
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NPI Number | 1184406027
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Entity Type | Organization
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Legal Business Name | I AM MRS. LASHONDA WOFFORD, LLC
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 1919 BOULEVARD ST STE A
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City | GREENSBORO
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State | NC
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Zip | 27407-4595
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Country | US
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Telephone | 910-633-5521
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Fax | 910-491-9719
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Provider Business Mailing Address
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Address Line | 5405 QUARTER POLE LN
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City | HOPE MILLS
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State | NC
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Zip | 28348-8355
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Country | US
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Telephone | 910-568-5319
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LASHONDA WOFFORD
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Credential |
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Telephone | 910-568-5319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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