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General NPI Number Information
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NPI Number | 1316727118
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Entity Type | Individual
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Provider Name | CHRISTOPHER DAVID DYE PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2700 WAYNE MEMORIAL DR
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City | GOLDSBORO
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State | NC
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Zip | 27534-9494
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Country | US
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Telephone | 919-736-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 200
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City | MORRISVILLE
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State | NC
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Zip | 27560-5423
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Country | US
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Telephone | 984-215-4000
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Fax |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 0010-14459
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-14459
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License Number State | NC
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