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General NPI Number Information
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NPI Number | 1215762562
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Entity Type | Individual
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Provider Name | MRS. LELIA G AZALI
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 9347 WHITE ASPEN PL
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City | CHARLOTTE
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State | NC
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Zip | 28269-1585
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Country | US
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Telephone | 980-384-5999
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Fax | 980-890-9792
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Provider Business Mailing Address
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Address Line | PO BOX 481704
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City | CHARLOTTE
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State | NC
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Zip | 28269-5330
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Country | US
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Telephone | 980-384-5999
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Fax | 980-890-9792
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 574757
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 102864
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License Number State | NC
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