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General NPI Number Information
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NPI Number | 1073291225
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Entity Type | Organization
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Legal Business Name | PRIMASUN MEDICAL GROUP OF NORTH CAROLINA, P.C.
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 8300 HEALTH PARK STE 201
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City | RALEIGH
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State | NC
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Zip | 27615-4731
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Country | US
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Telephone | 919-230-2569
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 HEALTH PARK STE 201
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City | RALEIGH
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State | NC
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Zip | 27615-4731
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Country | US
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Telephone | 919-230-2569
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMILA BATTLE
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Credential | MD
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Telephone | 919-230-2569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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