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General NPI Number Information
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NPI Number | 1992640379
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Entity Type | Organization
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Legal Business Name | SF LEGACY ENRICHMENT GROUP LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 202 S BARNES ST
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City | NASHVILLE
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State | NC
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Zip | 27856-1204
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Country | US
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Telephone | 252-458-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 301 S CHURCH ST
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-5755
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Country | US
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Telephone | 252-458-1464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDY MCNAIR
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Credential |
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Telephone | 252-458-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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