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General NPI Number Information
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NPI Number | 1598934374
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Entity Type | Organization
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Legal Business Name | JOHN W NEAL V MD PA
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 519 E LAUCHWOOD DR
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City | LAURINBURG
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State | NC
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Zip | 28352-5502
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Country | US
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Telephone | 910-276-1150
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Fax | 910-277-1966
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Provider Business Mailing Address
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Address Line | 519 E LAUCHWOOD DR
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City | LAURINBURG
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State | NC
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Zip | 28352-5502
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Country | US
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Telephone | 910-276-1150
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Fax | 910-277-1966
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Authorized Official
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Title or Position | OWNER
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Name | JOHN W NEAL V
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Credential | M.D.
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Telephone | 910-276-1150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22313
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License Number State | NC
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