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General NPI Number Information
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NPI Number | 1184790446
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Entity Type | Organization
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Legal Business Name | GLEN ALFORD & ASSOCIATES PLLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1016 FLETCHER ST
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City | WILKESBORO
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State | NC
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Zip | 28697-9472
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Country | US
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Telephone | 336-667-9261
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Fax |
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Provider Business Mailing Address
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Address Line | 146 HOLLOWVIEW DR P O BOX 239
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City | WILKESBORO
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State | NC
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Zip | 28697-7412
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Country | US
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Telephone | 336-667-8228
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Fax | 336-667-2899
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Authorized Official
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Title or Position | TRUSTEE
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Name | DEBRA KAY ALFORD
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Credential |
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Telephone | 336-667-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State | NC
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