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NPI 1134226301

NPI 1134226301 : CAPE FEAR PHYSICAL MEDICINE AND : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1134226301
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPE FEAR PHYSICAL MEDICINE AND 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    01/09/2026
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Provider Practice Location Address
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    Address Line         |    1540 PURDUE DRIVE STE. 200
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303
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    Country              |    US
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    Telephone            |    910-630-1112
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    Fax                  |    910-425-1110
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Provider Business Mailing Address
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    Address Line         |    PO BOX 64575 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28306-0575
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    Country              |    US
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    Telephone            |    910-630-1112
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    Fax                  |    910-425-1110
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Authorized Official
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    Title or Position    |    PHYSICIAN/ OWNER
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    Name                 |     MEISHA KAMA ABBASINEJAD 
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    Credential           |    MD
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    Telephone            |    910-630-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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