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General NPI Number Information
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NPI Number | 1396676987
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Entity Type | Organization
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Legal Business Name | TRIPLE J DIAGNOSTICS & WELLNESS LLC
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Dates
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Enumeration Date | 05/25/2026
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Last Update Date | 05/25/2026
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Provider Practice Location Address
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Address Line | 717 WARD BLVD
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City | WILSON
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State | NC
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Zip | 27893-1831
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Country | US
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Telephone | 919-631-2823
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 GREENBRIAR RD NW
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City | WILSON
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State | NC
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Zip | 27896-2147
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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 | SPECIMEN COLLECTOR
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Name | OCTAVIA NICOLE THIGPEN
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Credential |
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Telephone | 919-631-2823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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