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General NPI Number Information
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NPI Number | 1407668700
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Entity Type | Organization
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Legal Business Name | NOVANT HEALTH EMPLOYER SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 108 PROVIDENCE RD
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City | CHARLOTTE
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State | NC
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Zip | 28207-1218
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Country | US
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Telephone | 336-607-4992
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 604341
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City | CHARLOTTE
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State | NC
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Zip | 28260-4333
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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 | RCS MANAGER
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Name | LEEA JEANINE WALTON
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Credential |
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Telephone | 704-316-6081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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