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General NPI Number Information
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NPI Number | 1679976567
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Entity Type | Organization
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Legal Business Name | FOCUSMD NC1013 PLLC
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 4822 SIX FORKS RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27609-5269
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Country | US
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Telephone | 919-336-4244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360127
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City | BIRMINGHAM
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State | AL
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Zip | 35236-0127
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Country | US
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Telephone | 877-225-3542
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Fax | 877-638-9903
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH NEEL
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Credential | MD
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Telephone | 919-336-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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