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General NPI Number Information
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NPI Number | 1922251909
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Entity Type | Organization
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Legal Business Name | AURORASUPPORTSERVICES
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 114 SOUTH MAIN ST
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City | HIGHPOINT
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State | NC
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Zip | 27262
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Country | US
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Telephone | 336-259-0528
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Fax | 336-841-2323
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Provider Business Mailing Address
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Address Line | 2108 CANDELAR DR
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City | HIGHPOINT
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State | NC
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Zip | 27265
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Country | US
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Telephone | 336-259-0528
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Fax | 336-841-2323
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUNAZZA TABASSUM RAHIM
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Credential |
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Telephone | 336-259-0528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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