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General NPI Number Information
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NPI Number | 1093978017
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Entity Type | Individual
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Provider Name | RITA PAZRAL MUNSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | REILLY RD BLDG 4-2817
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-907-6451
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Fax | 910-907-8630
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Provider Business Mailing Address
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Address Line | REILLY RD BLDG 4-2817
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-907-6451
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Fax | 910-907-8630
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102202595
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License Number State | VA
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