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General NPI Number Information
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NPI Number | 1780969394
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Entity Type | Organization
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Legal Business Name | SCOTLAND REGIONAL HEALTH NETWORK
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 705B LAUCHWOOD DR
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City | LAURINBURG
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State | NC
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Zip | 28352-5544
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Country | US
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Telephone | 910-276-7552
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Fax | 910-277-0531
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Provider Business Mailing Address
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Address Line | PO BOX 602458
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City | CHARLOTTE
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State | NC
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Zip | 28260-2458
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Country | US
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Telephone | 910-276-7552
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Fax | 910-277-0531
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Authorized Official
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Title or Position | VP FINANCE
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Name | MATTHEW PRACHT
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Credential |
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Telephone | 910-291-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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