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General NPI Number Information
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NPI Number | 1710954615
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTH CONCEPTS, INC.
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 11/12/2007
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Provider Practice Location Address
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Address Line | 807 N MADISON BLVD
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City | ROXBORO
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State | NC
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Zip | 27573-4639
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Country | US
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Telephone | 336-597-5055
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Fax | 336-597-4703
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Provider Business Mailing Address
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Address Line | PO BOX 1084
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City | ROXBORO
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State | NC
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Zip | 27573-1084
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Country | US
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Telephone | 336-597-5055
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Fax | 336-597-4703
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MISS NICK ELLEDGE
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Credential |
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Telephone | 336-679-8852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HC0251
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License Number State | NC
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