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General NPI Number Information
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NPI Number | 1174878169
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Entity Type | Individual
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Provider Name | REBECCA ANN SCARBOROUGH RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 517 MOYE BLVD FL 1 ECU PHYSICIANS SURGERY
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City | GREENVILLE
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State | NC
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Zip | 27834-2849
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Country | US
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Telephone | 252-744-2393
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Fax | 252-744-0018
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Provider Business Mailing Address
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Address Line | PO BOX 751069 ECU PHYSICIANS INTERNAL MEDICINE
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone | 252-744-3258
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L002194
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License Number State | NC
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