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General NPI Number Information
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NPI Number | 1396332482
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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 | 12/23/2020
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Last Update Date | 10/08/2024
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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 | 910-772-9202
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Fax | 910-772-9452
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Provider Business Mailing Address
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Address Line | PO BOX 604267
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City | CHARLOTTE
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State | NC
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Zip | 28260-4267
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Country | US
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Telephone | 336-277-8757
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Fax | 336-718-8916
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Authorized Official
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Title or Position | PRESIDENT NOVANT HEALTH COASTAL REG
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Name | ERNEST LEWIS BOVIO JR.
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Credential |
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Telephone | 910-667-7040
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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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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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