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General NPI Number Information
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NPI Number | 1790752236
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Entity Type | Organization
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Legal Business Name | WAKEMED
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 3000 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1231
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Country | US
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Telephone | 919-350-7876
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1231
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Country | US
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Telephone | 919-350-7876
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP, FINANCE & CFO
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Name | MS. STEPHANIE SESSOMS
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Credential |
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Telephone | 919-350-0522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | H0199
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License Number State | NC
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