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General NPI Number Information
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NPI Number | 1154326379
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Entity Type | Organization
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Legal Business Name | DAVIE MEDICAL CENTER
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 329 NC HIGHWAY 801 N
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City | BERMUDA RUN
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State | NC
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Zip | 27006-7905
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Country | US
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Telephone | 336-998-1300
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Fax | 336-702-5701
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Provider Business Mailing Address
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Address Line | 329 NC HIGHWAY 801 N
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City | BERMUDA RUN
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State | NC
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Zip | 27006-7905
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Country | US
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Telephone | 336-751-8100
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Fax | 336-716-3202
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Authorized Official
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Title or Position | PRESIDENT, WFB AND DMC
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Name | CATHLEEN WHEATLEY
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Credential | DNP
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Telephone | 336-713-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H0171
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License Number State | NC
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