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General NPI Number Information
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NPI Number | 1285172627
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Entity Type | Organization
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Legal Business Name | COUNTY OF RANDOLPH
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 2222 S FAYETTEVILLE ST STE B
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City | ASHEBORO
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State | NC
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Zip | 27205-7368
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Country | US
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Telephone | 336-318-6200
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Fax | 336-318-6234
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Provider Business Mailing Address
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Address Line | 2222 S FAYETTEVILLE ST STE B
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City | ASHEBORO
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State | NC
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Zip | 27205-7368
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Country | US
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Telephone | 336-318-6200
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Fax | 336-318-6234
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | TARA G AKER
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Credential |
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Telephone | 336-318-6217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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