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NPI 1902855786

NPI 1902855786 : YANCEY COUNTY PRIMARY CARE CENTER : BURNSVILLE, NC

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General NPI Number Information
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    NPI Number           |    1902855786
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    Entity Type          |    Organization 
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    Legal Business Name  |    YANCEY COUNTY PRIMARY CARE CENTER 
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Dates
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    Enumeration Date     |    05/09/2006
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    Last Update Date     |    11/27/2007
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Provider Practice Location Address
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    Address Line         |    202 MEDICAL CAMPUS DR. 
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    City                 |    BURNSVILLE
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    State                |    NC
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    Zip                  |    28714
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    Country              |    US
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    Telephone            |    828-682-6118
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    Fax                  |    828-682-6262
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Provider Business Mailing Address
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    Address Line         |    202 MEDICAL CAMPUS DR. 
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    City                 |    BURNSVILLE
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    State                |    NC
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    Zip                  |    28714
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    Country              |    US
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    Telephone            |    828-682-6118
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    Fax                  |    828-682-6262
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Authorized Official
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    Title or Position    |    INTERIM HEALTH DIRECTOR
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    Name                 |    MRS. LYNDA  KINNANE 
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    Credential           |    
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    Telephone            |    828-765-9081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    NC
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