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General NPI Number Information
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NPI Number | 1295784213
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Entity Type | Organization
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Legal Business Name | CAROLINA PERINATAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 300 ASHVILLE AVE SUITE 280
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City | CARY
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State | NC
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Zip | 27511-8682
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Country | US
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Telephone | 919-859-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 300 ASHVILLE AVE SUITE 280
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City | CARY
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State | NC
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Zip | 27518-8682
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Country | US
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Telephone | 919-859-1886
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Fax | 919-859-1089
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. PAMELA ANN HERARD
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Credential |
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Telephone | 919-859-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 34590
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 200201015
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License Number State | NC
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