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General NPI Number Information
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NPI Number | 1346270295
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Entity Type | Organization
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Legal Business Name | PENDER URGENT CARE PLLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 232 OLD SAVANNAH RD
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City | BURGAW
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State | NC
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Zip | 28425-3944
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Country | US
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Telephone | 910-259-2161
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Fax | 910-259-7870
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Provider Business Mailing Address
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Address Line | 4637 NORWICH RD
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City | WILMINGTON
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State | NC
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Zip | 28405-1351
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Country | US
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Telephone | 910-409-1238
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BETH MARIE BRYANT
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Credential |
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Telephone | 910-259-2161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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