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General NPI Number Information
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NPI Number | 1740768225
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Entity Type | Organization
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Legal Business Name | IAM HEALTHCARE , PLLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 5509 CUMBERLAND PLAIN DR
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City | RALEIGH
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State | NC
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Zip | 27616
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Country | US
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Telephone | 919-271-4620
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Fax | 919-271-7958
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Provider Business Mailing Address
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Address Line | 5509 CUMBERLAND PLAIN DR
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City | RALEIGH
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State | NC
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Zip | 27616-6372
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Country | US
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Telephone | 919-271-4620
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Fax | 919-271-7958
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Authorized Official
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Title or Position | OWNER
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Name | FRANCIS ANIEKWENSI
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Credential | MD
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Telephone | 919-271-4620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2006-01275
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License Number State | NC
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