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General NPI Number Information
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NPI Number | 1033393061
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 2201 OLD NC 86
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-8785
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Country | US
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Telephone | 919-732-2909
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 PERIMETER PARK DR SUITE 225
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City | MORRISVILLE
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State | NC
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Zip | 27560-8421
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Country | US
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Telephone |
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Fax | 919-843-7699
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ROBERT LOUIS GIANFORCARO
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Credential | DO
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Telephone | 919-804-5064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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