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General NPI Number Information
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NPI Number | 1730092933
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Entity Type | Individual
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Provider Name | OLIVIA GAYLE SLAUGHTER
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 1669 NORWOOD RD
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City | STATESVILLE
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State | NC
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Zip | 28677-8201
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Country | US
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Telephone | 704-706-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 1669 NORWOOD RD
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City | STATESVILLE
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State | NC
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Zip | 28677-8201
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Country | US
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Telephone | 704-706-9330
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | CPO05210
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | CPO05210
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License Number State | NC
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