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General NPI Number Information
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NPI Number | 1922853316
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Entity Type | Organization
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Legal Business Name | COUNTY OF RANDOLPH
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2222 S FAYETTEVILLE ST STE B
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City | ASHEBORO
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State | NC
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Zip | 27205-7368
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Country | US
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Telephone | 336-318-6228
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Fax | 336-318-6186
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Provider Business Mailing Address
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Address Line | 2222 S FAYETTEVILLE ST STE B
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City | ASHEBORO
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State | NC
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Zip | 27205-7368
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Country | US
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Telephone | 336-318-6228
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Fax | 336-318-6186
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Authorized Official
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Title or Position | CLINICAL FINANCE SUPERVISOR
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Name | JOANNA ROBERSON
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Credential |
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Telephone | 336-318-6228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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License Number State |
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