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General NPI Number Information
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NPI Number | 1205062551
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Entity Type | Organization
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Legal Business Name | COUNTY OF ANSON
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 110 E ASHE ST
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City | WADESBORO
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State | NC
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Zip | 28170-2702
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Country | US
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Telephone | 704-694-5188
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Fax | 704-694-9067
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Provider Business Mailing Address
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Address Line | 110 E ASHE ST P. O BOX 473
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City | WADESBORO
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State | NC
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Zip | 28170-2702
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Country | US
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Telephone | 704-694-5188
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Fax | 704-694-9067
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Authorized Official
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Title or Position | PROCESSING ASST V
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Name | MS. LISA ANN CLARK
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Credential |
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Telephone | 704-694-5188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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