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General NPI Number Information
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NPI Number | 1396814331
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Entity Type | Organization
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Legal Business Name | MECKLENBURG COUNTY
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 3205 FREEDOM DR STE 7500
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City | CHARLOTTE
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State | NC
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Zip | 28208-3490
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Country | US
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Telephone | 704-336-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E 4TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28202-2886
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Country | US
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Telephone | 980-314-8640
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Fax |
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | RAYNARD E WASHINGTON
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Credential | PHD
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Telephone | 980-579-0671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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