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General NPI Number Information
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NPI Number | 1023932373
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Entity Type | Organization
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Legal Business Name | PUREWELL MEDICAL PLLC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 3325 JOYNER BRIDGE RD
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City | FOUR OAKS
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State | NC
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Zip | 27524-8896
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Country | US
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Telephone | 984-405-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 JOYNER BRIDGE RD
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City | FOUR OAKS
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State | NC
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Zip | 27524-8896
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Country | US
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Telephone | 919-398-2074
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | CIERRA ALFORD PARKS
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Credential | NP
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Telephone | 919-398-2074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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