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General NPI Number Information
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NPI Number | 1740331164
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Entity Type | Organization
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Legal Business Name | AZALEA GYNECOLOGY PA
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 736 MEDICAL CENTER DR STE 102
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City | WILMINGTON
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State | NC
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Zip | 28401-4250
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Country | US
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Telephone | 910-452-3666
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Fax | 910-397-0930
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Provider Business Mailing Address
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Address Line | 1814 NEW HANOVER MEDICAL PARK DR
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City | WILMINGTON
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State | NC
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Zip | 28403-5350
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Country | US
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Telephone | 910-452-3666
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Fax | 910-397-0930
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Authorized Official
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Title or Position | OWNER / DOCTOR
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Name | PAMELA R NOVOSEL
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Credential | MD
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Telephone | 910-452-3666
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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 |
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License Number State |
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