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General NPI Number Information
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NPI Number | 1619074192
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Entity Type | Organization
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Legal Business Name | DIABETES HEALTH ASSOCIATES
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1750 METROMEDICAL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3861
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Country | US
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Telephone | 910-223-1222
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Fax | 919-223-3122
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Provider Business Mailing Address
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Address Line | 1750 METROMEDICAL DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3861
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Country | US
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Telephone | 910-223-1222
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Fax | 919-223-3122
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | TEMPLE BRITT BYRD
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Credential | NP-C
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Telephone | 910-223-1223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NC
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