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General NPI Number Information
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NPI Number | 1437354792
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Entity Type | Organization
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Legal Business Name | SICKLE CELL DISEASE ASSOC. SOUTHERN PIEDMONT, INC.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 821 BAXTER ST SUITE 312
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City | CHARLOTTE
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State | NC
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Zip | 28202-2733
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Country | US
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Telephone | 704-332-4184
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Fax | 704-332-2246
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Provider Business Mailing Address
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Address Line | 821 BAXTER ST SUITE 312
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City | CHARLOTTE
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State | NC
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Zip | 28202-2733
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Country | US
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Telephone | 704-332-4184
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Fax | 704-332-2246
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. PATRICIA A LAMBRIGHT
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Credential | JD
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Telephone | 704-332-4184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 3403460
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License Number State | NC
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