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General NPI Number Information
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NPI Number | 1265430854
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Entity Type | Organization
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Legal Business Name | GRANVILLE HEALTH SYSTEM
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 1614 NC HIGHWAY 56
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City | CREEDMOOR
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State | NC
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Zip | 27522-8297
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Country | US
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Telephone | 919-575-6103
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Fax | 919-575-6817
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Provider Business Mailing Address
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Address Line | PO BOX 986
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City | OXFORD
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State | NC
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Zip | 27565-0986
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Country | US
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Telephone | 919-575-6103
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Fax | 919-575-6817
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Authorized Official
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Title or Position | CFO
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Name | JAMIE PURVIS
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Credential |
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Telephone | 919-690-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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