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General NPI Number Information
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NPI Number | 1730462342
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Entity Type | Organization
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Legal Business Name | BEST CARE INTERNAL MEDICINE AND PEDIATRICS, PA
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 3214 CHARLES B ROOT WYND SUITE 213
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City | RALEIGH
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State | NC
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Zip | 27612-5440
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Country | US
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Telephone | 919-781-8787
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Fax | 919-781-8782
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Provider Business Mailing Address
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Address Line | 3214 CHARLES B ROOT WYND SUITE 213
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City | RALEIGH
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State | NC
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Zip | 27612-5440
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Country | US
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Telephone | 919-781-8787
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Fax | 919-781-8782
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Authorized Official
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Title or Position | OWNER
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Name | DR. DABIRUDDIN M HUMAYUN
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Credential | MD
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Telephone | 919-781-8787
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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 | 200400517
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 200400517
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License Number State | NC
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