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General NPI Number Information
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NPI Number | 1437798709
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Entity Type | Organization
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Legal Business Name | MEDICATION ENGAGEMENT REWARD INITIATIVE
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 2274 WINTHROP CHASE DR
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City | CHARLOTTE
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State | NC
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Zip | 28212-8595
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Country | US
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Telephone | 336-480-8651
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Fax |
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Provider Business Mailing Address
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Address Line | 2274 WINTHROP CHASE DR
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City | CHARLOTTE
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State | NC
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Zip | 28212-8595
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Country | US
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Telephone | 336-480-8651
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | ANTHONY NELSON
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Credential | MHA
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Telephone | 336-480-8651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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