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General NPI Number Information
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NPI Number | 1225139249
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Entity Type | Organization
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Legal Business Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 1014 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1424
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Country | US
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Telephone | 336-274-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1424
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Country | US
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Telephone | 336-274-2149
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Fax |
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Authorized Official
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Title or Position | INTERIM PRES, WFU HEALTH SCIENCES
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Name | WILLIAM B APPLEGATE
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Credential | MD
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Telephone | 336-716-4424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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