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General NPI Number Information
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NPI Number | 1740417906
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Entity Type | Individual
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Provider Name | TONI CHAGOLLA OXENDINE M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 923 W 3RD ST
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City | PEMBROKE
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State | NC
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Zip | 28372-9628
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Country | US
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Telephone | 910-521-0564
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Fax | 910-521-8091
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 220
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City | MORRISVILLE
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State | NC
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Zip | 27560-5490
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2013-01392
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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 | 2013-01392
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License Number State | NC
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