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General NPI Number Information
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NPI Number | 1265545925
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Entity Type | Organization
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Legal Business Name | DUPLIN OB GYN PA
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 149 LIMESTONE RD STE 2 SUITE 2
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City | KENANSVILLE
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State | NC
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Zip | 28349-9019
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Country | US
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Telephone | 910-296-1666
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Fax | 910-296-1108
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Provider Business Mailing Address
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Address Line | PO BOX 485
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City | KENANSVILLE
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State | NC
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Zip | 28349-0485
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Country | US
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Telephone | 910-296-1666
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Fax | 866-284-9986
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | PAMELA QUINN
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Credential |
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Telephone | 910-296-1666
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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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