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NPI 1487790762

NPI 1487790762 : PLANNED PARENTHOOD SOUTH ATLANTIC : GREENSBORO, NC

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General NPI Number Information
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    NPI Number           |    1487790762
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLANNED PARENTHOOD SOUTH ATLANTIC 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    1704 BATTLEGROUND AVE 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27408-7905
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    Country              |    US
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    Telephone            |    336-373-0678
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    Fax                  |    919-275-3127
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Provider Business Mailing Address
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    Address Line         |    100 S BOYLAN AVE 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27603-1802
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    Country              |    US
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    Telephone            |    919-833-7534
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    Fax                  |    919-833-0730
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     KARL  LEVILLE 
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    Credential           |    
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    Telephone            |    919-833-7526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0050X
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    Taxonomy Name        |    Non-Surgical Family Planning 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        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    
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    License Number State |    
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