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General NPI Number Information
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NPI Number | 1194647818
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Entity Type | Organization
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Legal Business Name | NORTHERN REGIONAL HOSPITAL
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 830 ROCKFORD ST
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City | MOUNT AIRY
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State | NC
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Zip | 27030-5322
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Country | US
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Telephone | 336-783-8374
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BLVD ATTN: BEVERLY EUART
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5614
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Country | US
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Telephone | 336-277-8757
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Fax | 336-718-8916
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Authorized Official
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Title or Position | FACILITY CREDENTIALING
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Name | BEVERLY EUART
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Credential |
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Telephone | 336-277-8757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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