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General NPI Number Information
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NPI Number | 1770742751
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Entity Type | Organization
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Legal Business Name | PIEDMONT HEALTH SERVICES AND SICKLE CELL AGENCY
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 1102 E MARKET ST
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City | GREENSBORO
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State | NC
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Zip | 27401-6056
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Country | US
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Telephone | 336-274-1507
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Fax | 336-274-4251
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Provider Business Mailing Address
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Address Line | PO BOX 20964
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City | GREENSBORO
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State | NC
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Zip | 27420-0964
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Country | US
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Telephone | 336-274-1507
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Fax | 336-274-4251
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. GLADYS ASHE ROBINSON
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Credential | PH. D.
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Telephone | 336-274-1507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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