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General NPI Number Information
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NPI Number | 1497750939
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Entity Type | Organization
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Legal Business Name | DURHAM INTERNAL MEDICINE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 4205 BEN FRANKLIN BLVD DBA DURHAM INTERNAL MEDICINE ASSOCIATES
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City | DURHAM
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State | NC
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Zip | 27704-2143
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Country | US
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Telephone | 919-477-6900
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Fax | 919-477-5081
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Provider Business Mailing Address
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Address Line | 4205 BEN FRANKLIN BLVD
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City | DURHAM
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State | NC
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Zip | 27704-2143
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Country | US
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Telephone | 919-477-6900
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Fax | 919-477-5081
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM VANCE SINGLETARY JR.
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Credential | MD
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Telephone | 919-477-6900
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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 | 207R00000X
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License Number State | NC
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