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General NPI Number Information
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NPI Number | 1427101948
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Entity Type | Organization
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Legal Business Name | RURAL HALL FAMILY PRACTICE PA
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 100 E WALL ST
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City | RURAL HALL
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State | NC
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Zip | 27045-9312
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Country | US
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Telephone | 336-659-9440
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Fax | 336-659-9845
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Provider Business Mailing Address
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Address Line | 100 EAST WALL STREET
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City | RURAL HALL
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State | NC
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Zip | 27045
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Country | US
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Telephone | 336-659-9440
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Fax | 336-659-9845
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Authorized Official
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Title or Position | OWNER
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Name | JOHN HOLLAND
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Credential | MD
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Telephone | 336-659-9440
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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 |
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License Number State |
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