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General NPI Number Information
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NPI Number | 1487669271
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Entity Type | Organization
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Legal Business Name | CAROLINA CENTER FOR WOMEN'S HEALTH
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 615 RIDGE RD SUITE 627
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City | ROXBORO
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State | NC
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Zip | 27573-4629
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Country | US
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Telephone | 336-599-0287
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Fax | 336-599-1279
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Provider Business Mailing Address
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Address Line | 615 RIDGE RD SUITE 627
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City | ROXBORO
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State | NC
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Zip | 27573-4629
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Country | US
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Telephone | 336-599-0287
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Fax | 336-599-1279
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Authorized Official
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Title or Position | OWNER/CEO
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Name | HENRY LEWIS III
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Credential | MD
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Telephone | 336-599-0287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 31567
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License Number State | NC
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