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General NPI Number Information
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NPI Number | 1922020932
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Entity Type | Organization
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Legal Business Name | DAVIE COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 210 HOSPITAL ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2039
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Country | US
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Telephone | 336-753-6750
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Fax | 336-751-0335
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Provider Business Mailing Address
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Address Line | PO BOX 848
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City | MOCKSVILLE
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State | NC
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Zip | 27028-0848
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Country | US
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Telephone | 336-753-6750
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Fax | 336-751-0335
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MELISSA SPRY
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Credential | ADN
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Telephone | 336-753-6750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 04465
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License Number State | NC
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