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General NPI Number Information
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NPI Number | 1457526907
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Entity Type | Organization
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Legal Business Name | GRANVILLE HEALTH SYSTEM
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 103 PROFESSIONAL PARK STE C
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City | OXFORD
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State | NC
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Zip | 27565-2581
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Country | US
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Telephone | 919-690-3000
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Fax | 919-690-3457
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Provider Business Mailing Address
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Address Line | PO BOX 947
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City | OXFORD
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State | NC
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Zip | 27565-0947
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Country | US
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Telephone | 919-690-3000
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Fax | 919-690-3457
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Authorized Official
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Title or Position | CFO
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Name | JAMIE PURVIS
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Credential |
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Telephone | 919-690-3237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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