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General NPI Number Information
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NPI Number | 1861529653
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Entity Type | Organization
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Legal Business Name | SCOTLAND COUNTY
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 1405 WEST BOULEVARD
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City | LAURINBURG
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State | NC
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Zip | 28352-0069
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Country | US
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Telephone | 910-277-2440
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Fax | 910-277-2450
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | LAURINBURG
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State | NC
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Zip | 28353-0069
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Country | US
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Telephone | 910-277-2440
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Fax | 910-277-2450
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Authorized Official
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Title or Position | HEALTH DIRECTOR
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Name | MR. GLENN DAVID JENKINS
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Credential | M.P.A.
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Telephone | 910-277-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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