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General NPI Number Information
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NPI Number | 1285120816
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH CENTERS
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2101 PETERS CREEK PKWY STE 16-19
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City | WINSTON SALEM
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State | NC
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Zip | 27127-3726
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Country | US
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Telephone | 336-955-1379
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Fax | 336-893-9987
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Provider Business Mailing Address
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Address Line | 2101 PETERS CREEK PKWY STE 16-19
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City | WINSTON SALEM
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State | NC
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Zip | 27127-3726
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Country | US
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Telephone | 336-955-1379
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Fax | 336-893-9987
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Authorized Official
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Title or Position | CEO
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Name | RODERIC BROWN
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Credential |
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Telephone | 336-955-1379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental 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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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