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General NPI Number Information
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NPI Number | 1376712802
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Entity Type | Organization
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Legal Business Name | WAYNE T. JARMAN, MD PA
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 703D ROSANNE DR
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City | KINSTON
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State | NC
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Zip | 28504-1551
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Country | US
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Telephone | 252-527-9332
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Fax | 252-527-9234
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Provider Business Mailing Address
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Address Line | 703D ROSANNE DR
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City | KINSTON
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State | NC
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Zip | 28504-1551
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Country | US
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Telephone | 252-527-9332
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Fax | 252-527-9234
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Authorized Official
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Title or Position | MANAGER
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Name | DR. WAYNE T JARMAN
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Credential | MD
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Telephone | 252-527-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 19756
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License Number State | NC
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