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General NPI Number Information
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NPI Number | 1265787873
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Entity Type | Organization
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Legal Business Name | CHOICES WEIGHT MANAGEMENT
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Dates
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Enumeration Date | 07/19/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 807 SPRING FOREST RD SUITE 1600
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City | RALEIGH
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State | NC
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Zip | 27609-9197
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Country | US
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Telephone | 919-829-9422
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Fax |
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Provider Business Mailing Address
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Address Line | 807 SPRING FOREST RD STE 1600 SUITE 300
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City | RALEIGH
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State | NC
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Zip | 27609-9115
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSEPHINE BROWN
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Credential |
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Telephone | 919-829-9422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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