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General NPI Number Information
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NPI Number | 1538006069
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Entity Type | Organization
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Legal Business Name | WAKE ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2402 CAMDEN ST SW STE 200
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City | WILSON
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State | NC
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Zip | 27893-4495
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Country | US
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Telephone | 252-237-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BOULEVARD, SUITE 300 ATTN: L&C
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City | NASHVILLE
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State | TN
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Zip | 37215-6153
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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 | PRESIDENT
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Name | JEFFREY SNODGRASS
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Credential |
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Telephone | 615-665-1283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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