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General NPI Number Information
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NPI Number | 1861622037
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Entity Type | Individual
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Provider Name | DALE ROBYN KANTERMAN BCND, CHS, CT
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 2309 W CONE BLVD SUITE 201
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City | GREENSBORO
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State | NC
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Zip | 27408-4044
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Country | US
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Telephone | 336-763-2459
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Fax |
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Provider Business Mailing Address
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Address Line | 5311 LAND CASTLE LN
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City | MC LEANSVILLE
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State | NC
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Zip | 27301-9650
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Country | US
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Telephone | 919-619-7064
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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