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General NPI Number Information
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NPI Number | 1235038340
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Entity Type | Organization
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Legal Business Name | EAGLE PHYSICIANS AND ASSOCIATES PA
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 3200 NORTHLINE AVE STE 250
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City | GREENSBORO
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State | NC
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Zip | 27408-7619
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Country | US
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Telephone | 336-373-0611
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Fax | 336-373-1589
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Provider Business Mailing Address
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Address Line | 3200 NORTHLINE AVE STE 250
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City | GREENSBORO
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State | NC
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Zip | 27408-7619
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Country | US
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Telephone | 336-373-0611
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Fax | 336-373-1589
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | LESLIE HEATHER HINZE
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Credential |
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Telephone | 336-268-3129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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