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General NPI Number Information
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NPI Number | 1336494178
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Entity Type | Organization
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Legal Business Name | DUKE UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 2301 ERWIN ROAD ADVANCE CLINICAL PRACTICE-NICU
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City | DURHAM
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State | NC
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Zip | 27710-2739
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Country | US
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Telephone | 919-681-6024
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Fax |
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Provider Business Mailing Address
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Address Line | DUMC BOX# 2739 MEDICAL CENTER ADVANCE CLINICAL PRACTICE-NICU
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City | DURHAM
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State | NC
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Zip | 27715-2739
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Country | US
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Telephone | 919-681-6024
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Fax |
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Authorized Official
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Title or Position | NEONATOLOGIST
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Name | DR. ROBERT W LENFESTEY
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Credential | MD, MHS
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Telephone | 919-668-1592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State | NC
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