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General NPI Number Information
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NPI Number | 1346537180
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Entity Type | Organization
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Legal Business Name | ALAMANCE DERMATOLOGY, P.A.
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 480 W WEBB AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-3700
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Country | US
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Telephone | 336-226-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 480 W WEBB AVE
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City | BURLINGTON
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State | NC
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Zip | 27217-3700
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Country | US
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Telephone | 336-226-8000
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Fax | 336-228-7585
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JULIE P LITTEN
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Credential |
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Telephone | 336-395-2143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2005-01881
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License Number State | NC
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