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General NPI Number Information
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NPI Number | 1407595085
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Entity Type | Organization
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Legal Business Name | SUPERIOR HEALTH MEDICAL, PLLC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 8322 PINEVILLE MATTHEWS RD STE 602
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City | CHARLOTTE
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State | NC
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Zip | 28226-4823
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Country | US
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Telephone | 704-389-9040
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Fax | 704-396-8388
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Provider Business Mailing Address
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Address Line | 8022 PROVIDENCE RD UNIT 500-165
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City | CHARLOTTE
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State | NC
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Zip | 28277-9719
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Country | US
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Telephone | 980-322-9742
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Fax |
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Authorized Official
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Title or Position | CEO/MANAGER
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Name | DR. LISETTE MARIA AKERS
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Credential | MD
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Telephone | 980-322-9742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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