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General NPI Number Information
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NPI Number | 1740225101
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Entity Type | Organization
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Legal Business Name | SANDHILLS ORTHOPAEDIC AND SPINE CLINIC, PA
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 120 BRAEMAR COURT TURNBERRY WOOD
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City | SOUTHERN PINES
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State | NC
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Zip | 28388
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Country | US
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Telephone | 910-692-3144
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Fax | 910-692-2261
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Provider Business Mailing Address
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Address Line | PO BOX 660
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City | SOUTHERN PINES
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State | NC
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Zip | 28388-0660
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Country | US
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Telephone | 910-692-3144
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Fax | 910-692-2261
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR FINANCE/BUSINESS
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Name | MS. KIRSTEN N RICE
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Credential |
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Telephone | 910-692-3144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 29028
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License Number State | NC
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