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General NPI Number Information
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NPI Number | 1639099658
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Entity Type | Organization
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Legal Business Name | GOOD HEALTH NC MEDICAL PLLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 330 SUGAR MAGNOLIA LN
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City | KNIGHTDALE
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State | NC
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Zip | 27545
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Country | US
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Telephone | 864-723-0967
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Fax |
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Provider Business Mailing Address
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Address Line | 330 SUGAR MAGNOLIA LN
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City | KNIGHTDALE
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State | NC
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Zip | 27545
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Country | US
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Telephone | 864-723-0967
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER VAN OOTEGHEM
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Credential | PA-C
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Telephone | 864-723-0967
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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