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General NPI Number Information
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NPI Number | 1477444255
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Entity Type | Organization
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Legal Business Name | CHILDREN'S URGENT CARE OF FAYETTEVILLE
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 4118 RAEFORD RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3360
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Country | US
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Telephone | 901-413-9657
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Fax | 472-215-8665
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Provider Business Mailing Address
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Address Line | 5175 LAKEWOOD DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-4578
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Country | US
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Telephone | 901-413-9657
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Fax | 472-215-8665
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Authorized Official
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Title or Position | CEO
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Name | DR. WAREES M WAREES
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Credential | MD
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Telephone | 901-413-9657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number |
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License Number State |
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