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General NPI Number Information
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NPI Number | 1740740448
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Entity Type | Individual
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Provider Name | ROCK PAUL VOMER II DO
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Gender | Male
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 3904 OLEANDER DR
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City | WILMINGTON
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State | NC
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Zip | 28403-6717
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Country | US
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Telephone | 910-530-1874
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Fax |
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Provider Business Mailing Address
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Address Line | 10900 WORLD TRADE BLVD
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City | RALEIGH
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State | NC
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Zip | 27617-4202
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Country | US
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Telephone | 919-237-1337
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Fax | 919-237-1625
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 202302571
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License Number State | NC
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