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General NPI Number Information
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NPI Number | 1306957451
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Entity Type | Organization
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Legal Business Name | WILMINGTON MATERNAL-FETAL MEDICINE, PLLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 2212 DELANEY AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-6011
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Country | US
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Telephone | 910-332-3660
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Fax | 910-762-0569
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Provider Business Mailing Address
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Address Line | 2212 DELANEY AVENUE
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City | WILMINGTON
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State | NC
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Zip | 28403-6011
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Country | US
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Telephone | 910-332-3660
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | ASHLEY TOMPKINS
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Credential |
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Telephone | 910-332-3660
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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 | 36297
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License Number State | NC
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