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General NPI Number Information
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NPI Number | 1801048152
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Entity Type | Organization
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Legal Business Name | CAPE FEAR FAMILY MEDICAL CARE, PA
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 4140 FERNCREEK DR SUITE 701
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2563
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Country | US
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Telephone | 910-339-9800
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Fax | 910-339-2721
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Provider Business Mailing Address
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Address Line | 4140 FERNCREEK DR SUITE 701
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2563
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Country | US
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Telephone | 910-339-9800
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Fax | 910-339-2721
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Authorized Official
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Title or Position | ADMINSTRATION
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Name | MRS. MICHELE B JONES
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Credential |
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Telephone | 910-339-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 200000076
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License Number State | NC
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