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NPI 1417182296

NPI 1417182296 : CUMBERLAND COUNTY HOSPITAL SYSTEM INC : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1417182296
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUMBERLAND COUNTY HOSPITAL SYSTEM INC 
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Dates
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    Enumeration Date     |    05/21/2009
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    Last Update Date     |    07/17/2025
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Provider Practice Location Address
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    Address Line         |    101 ROBESON ST STE 107 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28301-5520
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    Country              |    US
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    Telephone            |    910-615-1000
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    Fax                  |    910-321-6292
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Provider Business Mailing Address
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    Address Line         |    PO BOX 40908 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28309-0908
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    Country              |    US
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    Telephone            |    910-615-1815
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP OF MANAGED CARE AND REV CYCLE
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    Name                 |     JOSEPH BARTON FISER 
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    Credential           |    
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    Telephone            |    910-615-5572
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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       |    10290
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    License Number State |    NC
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