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General NPI Number Information
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NPI Number | 1366553133
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Entity Type | Organization
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Legal Business Name | BRIER CREEK FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3721 LYNN RD SUITE 104
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City | RALEIGH
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State | NC
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Zip | 27613-3854
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Country | US
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Telephone | 910-574-2175
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Fax |
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Provider Business Mailing Address
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Address Line | 3721 LYNN RD SUITE 104
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City | RALEIGH
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State | NC
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Zip | 27613-3854
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Country | US
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Telephone | 910-574-2175
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DAWN VALAIRE QUASHIE
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Credential | MD
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Telephone | 910-574-2175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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