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General NPI Number Information
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NPI Number | 1558761023
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Entity Type | Organization
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Legal Business Name | PIEDMONT HEALTH SERVICES, INC
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Dates
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Enumeration Date | 09/02/2014
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 299 LLOYD ST
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City | CARRBORO
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State | NC
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Zip | 27510-1821
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Country | US
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Telephone | 919-537-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 299 LLOYD ST
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City | CARRBORO
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State | NC
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Zip | 27510-1821
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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 | MEDICAL DIRECTOR
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Name | DR. ABIGAIL DEVRIES
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Credential | M.D.
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Telephone | 919-537-7489
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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 |
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License Number State | NC
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