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General NPI Number Information
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NPI Number | 1942407689
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Entity Type | Organization
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Legal Business Name | PHA-ZES INC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 4913 ALBEMARLE RD STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28205-6617
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Country | US
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Telephone | 704-568-7072
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Fax | 704-568-7025
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Provider Business Mailing Address
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Address Line | 4913 ALBEMARLE RD STE 103
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City | CHARLOTTE
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State | NC
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Zip | 28205-6617
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Country | US
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Telephone | 704-806-1933
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Fax | 704-568-7072
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Authorized Official
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Title or Position | CEO
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Name | ALICIA JONES
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Credential | BA
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Telephone | 704-806-1933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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