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General NPI Number Information
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NPI Number | 1245322072
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Entity Type | Organization
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Legal Business Name | VILLAGE FAMILY MEDICINE PA
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 109 CONNER DR SUITE 1101
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City | CHAPEL HILL
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State | NC
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Zip | 27514-7039
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Country | US
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Telephone | 919-968-4551
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Fax | 919-929-7405
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Provider Business Mailing Address
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Address Line | 109 CONNER DR SUITE 1101
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City | CHAPEL HILL
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State | NC
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Zip | 27514-7041
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Country | US
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Telephone | 919-968-4551
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Fax | 919-929-7405
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Authorized Official
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Title or Position | PRESIDENT
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Name | YVONNE LUYANDO
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Credential | MD
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Telephone | 919-968-4551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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