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General NPI Number Information
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NPI Number | 1477652246
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Entity Type | Organization
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Legal Business Name | EASTOWNE OB-GYN AND INFERTILITY, P.A.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 180 PROVIDENCE RD SUITE # 3
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2206
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Country | US
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Telephone | 919-493-8466
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Fax | 919-490-8051
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Provider Business Mailing Address
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Address Line | 180 PROVIDENCE RD SUITE # 3
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City | CHAPEL HILL
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State | NC
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Zip | 27514-2206
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Country | US
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Telephone | 919-493-8466
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Fax | 919-490-8051
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. JAMES RAY DINGFELDER
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Credential | M.D.
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Telephone | 919-493-8466
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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 | 17855
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License Number State | NC
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