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General NPI Number Information
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NPI Number | 1528557543
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Entity Type | Organization
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Legal Business Name | HWMD MEDICAL PROFESSIONALS PLLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 478 WILLIAMSON RD, UNIT 202B/203C
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City | MOORESVILLE
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State | NC
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Zip | 28117-8192
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Country | US
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Telephone | 704-664-1275
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Fax | 704-380-0986
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Provider Business Mailing Address
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Address Line | 478 WILLIAMSON RD, UNIT 202B
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City | MOORESVILLE
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State | NC
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Zip | 28117-8192
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Country | US
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Telephone | 704-664-1275
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Fax | 704-380-0986
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Authorized Official
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Title or Position | OWNER/OPERATOR/PHYSICIAN
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Name | DR. DELINA HARSHA BISHOP
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Credential | MD
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Telephone | 704-664-1275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NC
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