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General NPI Number Information
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NPI Number | 1942060223
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Entity Type | Organization
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Legal Business Name | VERIFI CHARLOTTE LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1909 J N PEASE PL STE 104
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City | CHARLOTTE
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State | NC
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Zip | 28262-4561
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Country | US
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Telephone | 980-201-2290
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Fax | 980-414-6014
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Provider Business Mailing Address
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Address Line | 1909 J N PEASE PL STE 104
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City | CHARLOTTE
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State | NC
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Zip | 28262-4561
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Country | US
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Telephone | 980-201-2290
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Fax | 980-414-6014
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MS. SHAKA-CON DAVIS
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Credential |
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Telephone | 980-785-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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