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General NPI Number Information
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NPI Number | 1174714034
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Entity Type | Organization
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Legal Business Name | PATIENT CENTERED CARE, PLLC
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 5917 OLEANDER DR STE 202
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City | WILMINGTON
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State | NC
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Zip | 28403-4709
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Country | US
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Telephone | 910-799-6262
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Fax | 910-799-6261
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Provider Business Mailing Address
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Address Line | PO BOX 3227
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City | WILMINGTON
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State | NC
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Zip | 28406-0227
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Country | US
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Telephone | 910-799-6262
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Fax | 910-799-6261
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HEATHER M WINGATE
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Credential |
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Telephone | 910-799-6262
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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 | 900335
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License Number State | NC
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