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General NPI Number Information
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NPI Number | 1619827961
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Entity Type | Organization
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Legal Business Name | LIV SPECIALTY CARE NC, P.C.
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 1212 PARKSIDE MAIN ST
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City | CARY
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State | NC
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Zip | 27519-6951
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Country | US
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Telephone | 919-301-9426
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 CENTENNIAL BLVD STE 300
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City | NASHVILLE
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State | TN
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Zip | 37209-1105
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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 | CEO
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Name | WOODRUFF HALL BAUM
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Credential |
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Telephone | 646-568-0193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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