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General NPI Number Information
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NPI Number | 1548358526
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Entity Type | Organization
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Legal Business Name | CAROLINA FAMILY PRACTICE CENTRE, PA
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 2500 VILLAGE DR STE 100
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3811
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Country | US
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Telephone | 910-485-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 VILLAGE DR STE 100
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3982
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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 | OWNER
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Name | JORGE FRANCO
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Credential | MD
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Telephone | 910-476-6868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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