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General NPI Number Information
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NPI Number | 1003985375
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Entity Type | Organization
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Legal Business Name | NEW HANOVER REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 2131 S 17TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-7407
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Country | US
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Telephone | 910-343-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 S 17TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-7407
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Country | US
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Telephone | 910-343-7000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. EDWIN J. OLLIE
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Credential |
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Telephone | 910-343-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | H0221
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License Number State | NC
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