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General NPI Number Information
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NPI Number | 1558450247
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Entity Type | Organization
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Legal Business Name | TODDS NORTHSIDE PROFESSIONAL PCHY
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1141 N ROAD ST STE A1
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3354
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Country | US
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Telephone | 252-331-1333
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Fax | 252-331-1911
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Provider Business Mailing Address
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Address Line | PO BOX 1448
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City | ELIZABETH CITY
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State | NC
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Zip | 27906-1448
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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 | PRES
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Name | JOEL TWIFORD
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Credential |
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Telephone | 252-331-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 05351
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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