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General NPI Number Information
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NPI Number | 1528138781
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Entity Type | Organization
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Legal Business Name | ALBRIGHT INTERNAL MEDICINE, PA
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 8810 BLAKENEY PROFESSIONAL DR SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28277-6595
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Country | US
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Telephone | 704-759-8188
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Fax | 704-759-0857
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Provider Business Mailing Address
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Address Line | 8810 BLAKENEY PROFESSIONAL DR SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28277-6595
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Country | US
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Telephone | 704-759-8188
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Fax | 704-759-0857
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Authorized Official
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Title or Position | PRACTICE MANAGEAR
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Name | MRS. PAMELA F ALBRIGHT
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Credential |
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Telephone | 704-759-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 9400697
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License Number State | NC
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