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General NPI Number Information
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NPI Number | 1790001154
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Entity Type | Organization
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Legal Business Name | CENTERS FOR WHOLE HEALTH, LLC
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2810 BRAGG BLVD STE C
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4148
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Country | US
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Telephone | 910-605-6697
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Fax | 833-340-7315
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Provider Business Mailing Address
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Address Line | 439 WESTWOOD SHOPPING CTR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1532
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Country | US
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Telephone | 910-605-6697
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Fax | 910-483-7606
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA LIN HARRIS
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Credential | MD
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Telephone | 910-605-6697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 42673
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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