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General NPI Number Information
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NPI Number | 1093973075
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Entity Type | Individual
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Provider Name | PATRICIA ANN CONVERY MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1341 WALTER REED RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4415
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Country | US
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Telephone | 910-615-3500
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Fax | 910-615-3560
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Provider Business Mailing Address
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Address Line | 104 CONWAY CT
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City | CARY
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State | NC
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Zip | 27513-9400
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Country | US
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Telephone | 201-780-7670
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2013-00397
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 1023349
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA09123900
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License Number State | NJ
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