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General NPI Number Information
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NPI Number | 1437343621
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Entity Type | Organization
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Legal Business Name | TARBORO INTERNAL MEDICINE OF NORTH CAROLINA, PA
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 2704-C NORTH MAIN STREET
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City | TARBORO
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State | NC
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Zip | 27886-2704
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Country | US
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Telephone | 252-823-0808
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Fax | 252-823-6010
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Provider Business Mailing Address
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Address Line | 2704-C NORTH MAIN STREET
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City | TARBORO
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State | NC
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Zip | 27886-2704
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Country | US
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Telephone | 252-823-0808
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Fax | 252-823-6010
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. EMMA EVERLYN CASTILLO
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Credential | M.D.
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Telephone | 252-823-0808
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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 | 200001464895
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License Number State | NC
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