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General NPI Number Information
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NPI Number | 1194871970
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Entity Type | Organization
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Legal Business Name | GRANVILLE-VANCE DISTRICT HEALTH DEPARTMENT
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 101 HUNT ST
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City | OXFORD
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State | NC
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Zip | 27565-3414
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Country | US
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Telephone | 919-693-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 101 HUNT ST PO BOX 367
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City | OXFORD
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State | NC
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Zip | 27565-3414
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Country | US
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Telephone | 919-693-2141
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SHAUNA LEIGH GUTHRIE
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Credential | MD
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Telephone | 919-693-2141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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