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General NPI Number Information
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NPI Number | 1700504867
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Entity Type | Organization
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Legal Business Name | WHOLE WOMANS OF NORTH CAROLINA LLC
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 700 E HEBRON ST
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City | CHARLOTTE
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State | NC
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Zip | 28273-5993
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Country | US
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Telephone | 434-202-8818
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Fax | 210-881-6582
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Provider Business Mailing Address
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Address Line | 1001 E MARKET ST STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-5381
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Country | US
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Telephone | 434-422-2061
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Fax | 210-881-6582
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Authorized Official
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Title or Position | MEDICAL BILLING OPERATIONS MANAGER
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Name | VIRGINIA SMITH
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Credential |
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Telephone | 434-422-2061
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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