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General NPI Number Information
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NPI Number | 1740263177
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Entity Type | Individual
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Provider Name | LISA C MUASHER MD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2101 ERWIN ROAD CLINIC A
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City | DURHAM
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State | NC
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Zip | 27710-0001
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Country | US
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Telephone | 919-684-8111
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Fax | 919-620-4921
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Provider Business Mailing Address
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Address Line | 5213 S ALSTON AVE
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City | DURHAM
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State | NC
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Zip | 27713-4430
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Country | US
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Telephone | 919-684-8111
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Fax | 919-620-4291
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101054677
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License Number State | VA
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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 | 2012-00021
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License Number State | NC
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