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General NPI Number Information
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NPI Number | 1427389865
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Entity Type | Organization
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Legal Business Name | MASONBORO URGENT CARE, PC
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 6132 CAROLINA BEACH RD UNIT 8
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City | WILMINGTON
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State | NC
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Zip | 28412-2788
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Country | US
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Telephone | 910-794-4947
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Fax | 910-794-4943
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Provider Business Mailing Address
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Address Line | 6132 CAROLINA BEACH RD STE 8
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City | WILMINGTON
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State | NC
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Zip | 28412-2759
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Country | US
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Telephone | 910-794-4947
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Fax | 910-794-4943
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DAWN BENTZ
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Credential |
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Telephone | 910-399-8487
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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 | 9700334
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License Number State | NC
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