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General NPI Number Information
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NPI Number | 1346359908
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Entity Type | Organization
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Legal Business Name | VILLAGE FAMILY CARE CENTER PA
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 1248 FORT BRAGG RD SUITE 200
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-4981
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Country | US
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Telephone | 910-486-6818
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1689
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City | ETOWAH
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State | NC
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Zip | 28729-1689
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Country | US
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Telephone | 828-891-5524
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | STEPHANIE FEILMEIER
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Credential |
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Telephone | 828-233-1354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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