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NPI 1568457646

NPI 1568457646 : LYMFLO THERAPIES, INC. : CHAPEL HILL, NC

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General NPI Number Information
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    NPI Number           |    1568457646
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    Entity Type          |    Organization 
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    Legal Business Name  |    LYMFLO THERAPIES, INC. 
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Dates
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    Enumeration Date     |    09/15/2005
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    Last Update Date     |    11/14/2007
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Provider Practice Location Address
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    Address Line         |    2226 NELSON HWY SUITE H
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27517-7883
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    Country              |    US
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    Telephone            |    919-493-1170
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    Fax                  |    919-493-1640
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Provider Business Mailing Address
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    Address Line         |    2226 NELSON HWY SUITE H
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27517-7883
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    Country              |    US
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    Telephone            |    919-493-1170
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    Fax                  |    919-493-1640
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. FELICITE  THOMPSON 
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    Credential           |    
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    Telephone            |    919-493-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    0602
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    License Number State |    NC
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