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General NPI Number Information
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NPI Number | 1649468547
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Entity Type | Organization
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Legal Business Name | WILKES COUNTY DSS
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 304 COLLEGE ST
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City | WILKESBORO
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State | NC
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Zip | 28697-2854
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Country | US
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Telephone | 336-651-7400
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Fax | 336-903-7613
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Provider Business Mailing Address
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Address Line | 304 COLLEGE ST
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City | WILKESBORO
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State | NC
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Zip | 28697-2854
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Country | US
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Telephone | 336-651-7400
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Fax | 336-903-7613
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JAMES D BUMGARNER
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Credential | MSW
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Telephone | 336-651-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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