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General NPI Number Information
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NPI Number | 1225218910
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Entity Type | Organization
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Legal Business Name | MICHAEL LAW MD PA
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 10941 RAVEN RIDGE RD SUITE 103
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City | RALEIGH
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State | NC
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Zip | 27614-6487
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Country | US
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Telephone | 919-256-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 10941 RAVEN RIDGE RD SUITE 103
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City | RALEIGH
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State | NC
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Zip | 27614-6487
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Country | US
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Telephone | 919-256-0900
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | MICHAEL LAW
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Credential |
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Telephone | 919-256-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NC
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