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General NPI Number Information
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NPI Number | 1497699607
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Entity Type | Organization
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Legal Business Name | AVILA DERMATOLOGY PLLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1456 N HOWE ST STE 101
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City | SOUTHPORT
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State | NC
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Zip | 28461-2674
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Country | US
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Telephone | 910-994-3917
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Fax | 910-946-0279
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Provider Business Mailing Address
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Address Line | 1456 N HOWE ST STE 101
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City | SOUTHPORT
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State | NC
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Zip | 28461-2674
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Country | US
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Telephone | 910-994-3917
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Fax | 910-946-0279
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Authorized Official
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Title or Position | DERMATOLOGIST, OWNER
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Name | DR. CHRISTINA L AVILA
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Credential | MD, MPH
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Telephone | 937-546-0924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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