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General NPI Number Information
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NPI Number | 1720253784
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Entity Type | Organization
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Legal Business Name | WILMINGTON HEALTH PLLC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1300 BRIDGE BARRIER RD SUITE 2
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City | CAROLINA BEACH
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State | NC
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Zip | 28428
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Country | US
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Telephone | 910-458-4101
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Fax | 910-458-5617
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Provider Business Mailing Address
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Address Line | 1202 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7307
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Country | US
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Telephone | 910-617-6705
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Fax | 910-431-4048
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Authorized Official
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Title or Position | CBO DIRECTOR
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Name | JEANETTE LOVELESS
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Credential |
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Telephone | 910-796-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 73991
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License Number State | NC
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Taxonomy #2
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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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