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General NPI Number Information
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NPI Number | 1194665463
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Entity Type | Organization
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Legal Business Name | REVOLUTIONAI IO INCOPORATED
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 2012 JOELENE DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-1533
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Country | US
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Telephone | 304-561-5524
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Fax | 304-561-5524
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Provider Business Mailing Address
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Address Line | 2012 JOELENE DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-1533
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Country | US
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Telephone | 304-561-5524
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Fax | 304-561-5524
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Authorized Official
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Title or Position | OWNER
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Name | COREY MICHAEL NIDA
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Credential |
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Telephone | 304-561-5524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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