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General NPI Number Information
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NPI Number | 1760526693
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Entity Type | Organization
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Legal Business Name | GRANVILLE COUNTY DSS
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 107 LANIER ST
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City | OXFORD
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State | NC
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Zip | 27565-2949
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Country | US
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Telephone | 919-693-1511
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Fax | 919-603-5090
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Provider Business Mailing Address
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Address Line | 107 LANIER ST P. O. BOX 966
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City | OXFORD
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State | NC
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Zip | 27565-2949
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Country | US
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Telephone | 919-693-1511
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Fax | 919-603-5090
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Authorized Official
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Title or Position | ACCOUNTING CLERK IV
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Name | MRS. BONNIE FISHER
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Credential |
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Telephone | 919-693-1511
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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 | 104100000X
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License Number State | NC
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