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General NPI Number Information
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NPI Number | 1871594622
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Entity Type | Organization
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Legal Business Name | COUNTY OF WAYNE
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1560 CLINGMAN ST
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City | GOLDSBORO
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State | NC
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Zip | 27534-2162
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Country | US
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Telephone | 919-731-1000
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Fax | 373-705-6546
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Provider Business Mailing Address
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Address Line | 1560 CLINGMAN ST
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City | GOLDSBORO
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State | NC
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Zip | 27534-2162
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Country | US
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Telephone | 919-731-1000
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Fax | 919-705-6546
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Authorized Official
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Title or Position | MEDICAL RECORDS MANAGER
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Name | DAWN KAUPA
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Credential |
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Telephone | 919-731-1284
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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 | 7221
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 7221
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 7221
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 03873
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 7221
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 7221
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 7221
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 7221
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License Number State | NC
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Taxonomy #9
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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 | 7221
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License Number State | NC
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