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General NPI Number Information
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NPI Number | 1235217258
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Entity Type | Organization
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Legal Business Name | DUPLIN MEDICAL ASSOCIATION
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 107 N CENTER ST
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City | WARSAW
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State | NC
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Zip | 28398-1933
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Country | US
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Telephone | 910-293-3401
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Fax | 910-293-4530
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Provider Business Mailing Address
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Address Line | 107 N CENTER ST
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City | WARSAW
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State | NC
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Zip | 28398-1933
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Country | US
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Telephone | 910-293-3401
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Fax | 910-293-4530
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. PAMELA M BEST
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Credential |
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Telephone | 910-293-3401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 103247
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 101600
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License Number State | NC
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