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General NPI Number Information
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NPI Number | 1437221785
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA SPECIALTY HOSPITAL LLC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 3916 BEN FRANKLIN BLVD
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City | DURHAM
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State | NC
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Zip | 27704-2383
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Country | US
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Telephone | 919-956-9300
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Fax | 919-287-3237
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Provider Business Mailing Address
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Address Line | PO BOX 15819
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City | DURHAM
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State | NC
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Zip | 27704
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Country | US
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Telephone | 919-956-9300
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Fax | 919-287-3237
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Authorized Official
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Title or Position | OFFICER AND AUTHORIZED OFFICIAL
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Name | JENNIFER BOYD BALDOCK
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Credential |
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Telephone | 615-234-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H0075
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License Number State | NC
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