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General NPI Number Information
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NPI Number | 1245223783
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Entity Type | Organization
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Legal Business Name | ADVANCE COMMUNITY HEALTH, INC
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1011 ROCK QUARRY ROAD
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City | RALEIGH
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State | NC
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Zip | 27610
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Country | US
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Telephone | 919-250-2930
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Fax | 919-573-4734
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Provider Business Mailing Address
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Address Line | 1001 ROCK QUARRY ROAD
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City | RALEIGH
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State | NC
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Zip | 27610
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Country | US
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Telephone | 919-833-3111
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Fax | 919-250-2949
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Authorized Official
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Title or Position | CEO
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Name | SCOT MCCRAY
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Credential |
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Telephone | 919-833-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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