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General NPI Number Information
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NPI Number | 1306964242
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Entity Type | Organization
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Legal Business Name | DEE & G ENRICHMENT CENTER #3
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 321 AUSTIN ST
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City | BURLINGTON
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State | NC
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Zip | 27217-8300
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Country | US
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Telephone | 336-266-4909
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Fax | 336-222-8338
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Provider Business Mailing Address
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Address Line | 321 AUSTIN ST
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City | BURLINGTON
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State | NC
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Zip | 27217-8300
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Country | US
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Telephone | 336-266-4909
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Fax | 336-228-6447
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CLARA S YANCEY
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Credential |
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Telephone | 336-266-4909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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