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General NPI Number Information
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NPI Number | 1578439857
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Entity Type | Organization
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Legal Business Name | CAROLINAS FERTILITY INSTITUTE, P.A.
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 14 HAWTHORNE PARK CT
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City | GREENVILLE
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State | SC
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Zip | 29615-3194
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Country | US
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Telephone | 336-448-9100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25804
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City | WINSTON SALEM
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State | NC
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Zip | 27114-5804
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Country | US
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Telephone | 336-448-9100
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Fax | 336-448-5282
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | PENNY RODRIGUEZ
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Credential |
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Telephone | 336-448-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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