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General NPI Number Information
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NPI Number | 1780621029
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Entity Type | Organization
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Legal Business Name | CAROLINA MEDICINE, P.C.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 310 COURT SQUARE
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City | SANFORD
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State | NC
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Zip | 28330-5657
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Country | US
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Telephone | 919-718-5705
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Fax | 919-777-7248
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Provider Business Mailing Address
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Address Line | 310 COURT SQUARE
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City | SANFORD
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State | NC
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Zip | 28330-5657
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Country | US
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Telephone | 919-718-5705
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Fax | 919-777-7248
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Authorized Official
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Title or Position | OWNER
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Name | MS. ROBIN ANDREA WHITTEN
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Credential | PAC
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Telephone | 919-718-5705
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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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