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General NPI Number Information
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NPI Number | 1962485904
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Entity Type | Organization
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Legal Business Name | HEALTH ACCESS INC.
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 07/29/2009
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Provider Practice Location Address
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Address Line | 2100 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone | 252-847-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8428
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City | GREENVILLE
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State | NC
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Zip | 27835-8428
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Country | US
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Telephone | 252-847-2273
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. DEBORAH K. THOMPSON
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Credential | NP
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Telephone | 252-847-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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