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General NPI Number Information
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NPI Number | 1467784488
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Entity Type | Organization
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Legal Business Name | LUMBERTON FAMILY & URGENT CARE CENTER PLLC
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 309 N ROBERTS AVE
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City | LUMBERTON
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State | NC
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Zip | 28358-5383
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Country | US
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Telephone | 910-739-0272
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Fax | 910-739-0375
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Provider Business Mailing Address
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Address Line | 309 N ROBERTS AVE
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City | LUMBERTON
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State | NC
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Zip | 28358-5383
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Country | US
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Telephone | 910-739-0272
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Fax | 910-739-0375
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARBUS E LOCKLEAR JR.
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Credential | PA-C
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Telephone | 910-734-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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