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General NPI Number Information
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NPI Number | 1871432674
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Entity Type | Organization
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Legal Business Name | PHLEBOHEALTHACADEMY
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1201 KELSTON PL APT 106
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City | CHARLOTTE
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State | NC
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Zip | 28212-0850
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Country | US
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Telephone | 803-305-7463
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Fax |
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Provider Business Mailing Address
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Address Line | 9805 STATESVILLE RD STE 6210
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City | CHARLOTTE
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State | NC
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Zip | 28269-7647
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Country | US
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Telephone | 910-830-0460
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAKIRA REED
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Credential |
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Telephone | 910-830-0460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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