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General NPI Number Information
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NPI Number | 1821510579
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Entity Type | Organization
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Legal Business Name | NOVANT HEALTH BRUNSWICK ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 13 MEDICAL CAMPUS DR SUITE 101
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City | SUPPLY
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State | NC
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Zip | 28462
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Country | US
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Telephone | 910-721-4300
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Fax | 910-721-4309
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Provider Business Mailing Address
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Address Line | PO BOX 603686
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City | CHARLOTTE
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State | NC
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Zip | 28260-3686
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Country | US
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Telephone | 336-277-8757
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Fax | 336-718-8916
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Authorized Official
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Title or Position | PRESIDENT & COO NHBMC
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Name | HEATHER MARIE KING
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Credential |
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Telephone | 336-726-3316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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