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General NPI Number Information
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NPI Number | 1013975721
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Entity Type | Individual
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Provider Name | DOMINIC L STORTO DO
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 2934 N ELM ST STE E
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City | LUMBERTON
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State | NC
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Zip | 28358-2987
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Country | US
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Telephone | 919-739-0022
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Fax | 910-738-0079
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 220
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City | MORRISVILLE
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State | NC
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Zip | 27560-5490
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 200400417
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License Number State | NC
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