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NPI 1689029605

NPI 1689029605 : B & D INTEGRATED HEALTH SERVICES : WAKE FOREST, NC

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General NPI Number Information
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    NPI Number           |    1689029605
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    Entity Type          |    Organization 
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    Legal Business Name  |    B & D INTEGRATED HEALTH SERVICES 
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Dates
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    Enumeration Date     |    04/27/2016
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    Last Update Date     |    03/10/2025
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Provider Practice Location Address
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    Address Line         |    620 DR CALVIN JONES HWY STE 100 
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    City                 |    WAKE FOREST
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    State                |    NC
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    Zip                  |    27587-3108
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    Country              |    US
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    Telephone            |    919-338-2191
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    Fax                  |    919-338-2191
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Provider Business Mailing Address
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    Address Line         |    249 E NC HIGHWAY 54 SUITE 320
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-7512
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    Country              |    US
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    Telephone            |    919-907-3334
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    Fax                  |    919-907-3335
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     LAUREN E DURANT 
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    Credential           |    PHD
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    Telephone            |    919-753-1080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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 |    
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