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NPI 1386627677

NPI 1386627677 : ANNA LUCY SOBOL M.D. : NORTH WILKESBORO, NC

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General NPI Number Information
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    NPI Number           |    1386627677
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA LUCY SOBOL M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2005
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    1370 W D ST 
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    City                 |    NORTH WILKESBORO
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    State                |    NC
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    Zip                  |    28659-3506
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    Country              |    US
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    Telephone            |    336-903-7900
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    Fax                  |    336-713-5445
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Provider Business Mailing Address
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    Address Line         |    MEDICAL CENTER BLVD 
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    City                 |    WINSTON SALEM
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    State                |    NC
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    Zip                  |    27157-0001
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    Country              |    US
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    Telephone            |    336-903-7900
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    Fax                  |    336-713-5445
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    2009-01642
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    License Number State |    NC
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