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General NPI Number Information
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NPI Number | 1801866140
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Entity Type | Organization
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Legal Business Name | LOUISBURG NOVANT LLC
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 100 HOSPITAL DR
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City | LOUISBURG
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State | NC
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Zip | 27549-2256
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Country | US
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Telephone | 919-496-5131
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Fax | 919-496-3689
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5614
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Country | US
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Telephone | 919-496-5131
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Fax | 919-496-3689
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Authorized Official
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Title or Position | CFO
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Name | FRED M. HARGETT JR.
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Credential |
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Telephone | 704-384-5184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 80261
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License Number State | NC
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