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General NPI Number Information
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NPI Number | 1073694154
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Entity Type | Organization
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Legal Business Name | PATRICK GRAY OBSTETRICS & GYNECOLOGY, PC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 103 HUNT DR
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City | DUNN
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State | NC
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Zip | 28334-4987
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Country | US
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Telephone | 910-892-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 103 HUNT DR
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City | DUNN
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State | NC
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Zip | 28334-4987
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Country | US
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Telephone | 910-892-0200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK HAMPTON GRAY
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Credential | M.D.
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Telephone | 910-892-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27683
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License Number State | NC
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