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General NPI Number Information
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NPI Number | 1154378008
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Entity Type | Organization
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Legal Business Name | SOUTHERN PINES WOMEN'S HEALTH CENTER PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 145 APPLECROSS ROAD SOUTHERN PINES WOMEN'S HEALTH CENTER PC
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City | SOUTHERN PINES
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State | NC
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Zip | 28387
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Country | US
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Telephone | 910-692-7928
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Fax | 910-692-5962
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Provider Business Mailing Address
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Address Line | PO BOX 749 SOUTHERN PINES WOMEN'S HEALTH CENTER PC
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City | SOUTHERN PINES
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State | NC
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Zip | 28388-0749
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Country | US
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Telephone | 910-692-7928
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Fax | 910-692-5962
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Authorized Official
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Title or Position | BUSINESS OFFICE/MANAGER
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Name | MRS. RACHEL CARPENTER BYRD
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Credential | CPC
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Telephone | 910-692-7928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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