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General NPI Number Information
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NPI Number | 1134213432
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Entity Type | Organization
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Legal Business Name | ONSLOW AMBULATORY SERVICES, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 166 MEMORIAL CT
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6322
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Country | US
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Telephone | 910-353-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 166 MEMORIAL CT
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City | JACKSONVILLE
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State | NC
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Zip | 28546-6322
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Country | US
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Telephone | 910-353-9565
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ED PIPER
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Credential |
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Telephone | 910-577-4767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AS0039
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License Number State | NC
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