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General NPI Number Information
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NPI Number | 1750319729
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Entity Type | Organization
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Legal Business Name | REX HOSPITAL INC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 11200 GOVERNOR MANLY WAY SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27614-6830
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Country | US
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Telephone | 919-570-7700
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Fax | 919-570-7701
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Provider Business Mailing Address
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Address Line | 11200 GOVERNOR MANLY WAY SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27614-6830
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Country | US
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Telephone | 919-570-7700
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Fax | 919-570-7701
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Authorized Official
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Title or Position | CFO
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Name | BERNADETTE M SPONG
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Credential |
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Telephone | 919-784-3245
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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 |
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License Number State |
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