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General NPI Number Information
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NPI Number | 1023739281
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND WELLNESS - BLADEN
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 101 S CRAIG ST
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-3905
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Country | US
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Telephone | 910-991-3060
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Fax | 910-226-7566
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Provider Business Mailing Address
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Address Line | 101 S CRAIG ST
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-3905
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Country | US
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Telephone | 910-991-3060
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Fax | 910-226-7566
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Authorized Official
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Title or Position | OWNER/MANAGING OFFICER
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Name | SONJA HILBURN
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Credential | FNP-BC
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Telephone | 910-991-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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