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Contact Information

CEDRIC DEAN, CPP
2001 CATHERINE SIMMONS AVE
CHARLOTTE, NC28216-4677
 Phone: 704-492-1533
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
 

Home Modifications

171WH0202X
 

Preferred Provider Organization

305R00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for CEDRIC DEAN · (Male)

NPI Number 1114647013
Status Active
Credentials CPP
Entity Individual
Enumeration date 08/31/2022
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2021877201
  • NC Medicaid 832424267
  • NC Other 000005049292 DMV
  • NC Other 1497473086 PRIVATE INSURANCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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