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General NPI Number Information
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NPI Number | 1366585200
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Entity Type | Organization
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Legal Business Name | NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 2131 S 17TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-7407
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Country | US
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Telephone | 910-667-5147
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Fax | 910-815-5189
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Provider Business Mailing Address
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Address Line | PO BOX 9000 2131 S. 17TH STREET
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City | WILMINGTON
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State | NC
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Zip | 28402-9000
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Country | US
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Telephone | 910-667-5147
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Fax | 910-815-5189
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Authorized Official
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Title or Position | DIRECTOR OF RETAIL & SPECIALTY RX
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Name | DR. MICHAEL EDGERTON
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Credential | PHARMD
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Telephone | 910-667-5147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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