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Active
Organization subpart
No

Provider details

NPI number
Authorized official
NEIKA DAUPHIN (REGISTERED DIETITAN)
(919) 342-8361
Entity
Organization

Contact information

Practice address
2920 FORESTVILLE RD STE 100, RALEIGH, NC 27616-8774
(919) 342-8361
Mailing address
PO BOX 1412, RALEIGH, NC 27602-1412
(919) 527-5432

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/03/2024
Last updated
05/03/2024
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