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General NPI Number Information
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NPI Number | 1114042223
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Entity Type | Organization
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Legal Business Name | SANDHILLS INTERNAL MEDICINE CLINIC, PA
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 125 BILTMORE DR SUITE #2
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City | ROCKINGHAM
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State | NC
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Zip | 28379-4928
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Country | US
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Telephone | 910-895-6650
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Fax | 910-895-6682
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Provider Business Mailing Address
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Address Line | PO BOX 1446
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City | ROCKINGHAM
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State | NC
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Zip | 28380-1446
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Country | US
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Telephone | 910-895-6650
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Fax | 910-895-6682
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMIR M DARWISH
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Credential | MD
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Telephone | 910-895-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5005332
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 95-00413
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License Number State | NC
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