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General NPI Number Information
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NPI Number | 1780074385
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Entity Type | Organization
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Legal Business Name | CUMBERLAND COUNTY DEPT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 02/03/2015
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1235 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4401
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Country | US
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Telephone | 910-433-3719
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Fax | 910-321-7103
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Provider Business Mailing Address
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Address Line | 1235 RAMSEY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4401
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Country | US
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Telephone | 910-433-3719
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Fax | 910-321-7103
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | COLETTE GELIN
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Credential |
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Telephone | 91043337199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7896
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License Number State | NC
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