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General NPI Number Information
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NPI Number | 1508559600
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Entity Type | Individual
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Provider Name | MR. ERWIN FERNANDO MACROHON JR.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1471 E CONE BLVD
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City | GREENSBORO
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State | NC
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Zip | 27405-4533
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Country | US
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Telephone | 336-338-1481
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Fax |
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Provider Business Mailing Address
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Address Line | 599 BRIGHTWOOD FARM PARKWAY
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City | WHITSETT
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State | NC
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Zip | 27377
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5018164
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License Number State | NC
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