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General NPI Number Information
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NPI Number | 1598554875
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Entity Type | Organization
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Legal Business Name | PURPLE SQUIRREL LLC
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 234 ELLA DR
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City | LOCUST
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State | NC
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Zip | 28097-9642
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Country | US
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Telephone | 704-459-5300
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Fax | 704-703-6197
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Provider Business Mailing Address
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Address Line | 236 MARKET ST STE 100
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City | LOCUST
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State | NC
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Zip | 28097-9439
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Country | US
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Telephone | 704-459-5300
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Fax | 704-703-6197
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Authorized Official
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Title or Position | OWNER
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Name | VELDOSIA BURROUGHS
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Credential |
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Telephone | 704-459-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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