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General NPI Number Information
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NPI Number | 1689568651
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Entity Type | Organization
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Legal Business Name | ALPHA LABS AND CARE LLC.
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 3158 STREAMSIDE LN
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City | WINTERVILLE
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State | NC
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Zip | 28590-9963
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Country | US
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Telephone | 252-714-7514
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Fax |
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Provider Business Mailing Address
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Address Line | 3158 STREAMSIDE LN
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City | WINTERVILLE
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State | NC
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Zip | 28590-9963
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Country | US
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Telephone | 252-714-7514
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES MALOY BROWN III
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Credential |
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Telephone | 252-714-7514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal 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 | 207K00000X
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Taxonomy Name | Allergy & Immunology 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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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