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General NPI Number Information
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NPI Number | 1306402359
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Entity Type | Individual
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Provider Name | JAMIE PRINCE MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 4414 LAKE BOONE TRL STE 302
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City | RALEIGH
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State | NC
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Zip | 27607-7514
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Country | US
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Telephone | 919-782-8038
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-7272
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Fax | 336-832-8641
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2025-02448
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 250194
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | TBD
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License Number State | GA
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