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General NPI Number Information
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NPI Number | 1023913332
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Entity Type | Organization
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Legal Business Name | OVUM MEDICAL NC PLLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 400 ASHVILLE AVE STE 360
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City | CARY
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State | NC
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Zip | 27518-6134
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Country | US
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Telephone | 307-284-3227
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Fax |
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Provider Business Mailing Address
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Address Line | 176 MINE LAKE CT STE 100
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City | RALEIGH
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State | NC
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Zip | 27615-6417
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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 | PHYSICIAN/MEDICAL DIRECTOR
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Name | JODIE HORTON
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Credential | MD
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Telephone | 307-284-3227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State | NULL
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