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General NPI Number Information
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NPI Number | 1578406179
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA BAPTIST HOSPITAL
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 635 VINE ST STE 3400
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City | WINSTON SALEM
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State | NC
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Zip | 27101-4185
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Country | US
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Telephone | 336-713-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 635 VINE ST STE 3400
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City | WINSTON SALEM
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State | NC
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Zip | 27101-4185
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Country | US
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Telephone | 336-713-8075
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Fax |
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Authorized Official
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Title or Position | AVP RETAIL AND SPECIALTY PHARMACY
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Name | REGINA SCHOMBERG
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Credential |
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Telephone | 336-713-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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