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General NPI Number Information
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NPI Number | 1538963095
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Entity Type | Organization
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Legal Business Name | MILLENNIUM PAYOR CONTRACTING NORTH CAROLINA, LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location 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 |
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | MARY HALTIGAN
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Credential |
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Telephone | 877-856-3774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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