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General NPI Number Information
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NPI Number | 1821793993
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Entity Type | Organization
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Legal Business Name | SANDHILLS FUNCTIONAL MEDICINE PLLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 334 MILL CREEK RD STE B
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City | CARTHAGE
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State | NC
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Zip | 28327-6525
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Country | US
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Telephone | 910-621-7410
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Fax |
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Provider Business Mailing Address
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Address Line | 334 MILL CREEK RD STE B
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City | CARTHAGE
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State | NC
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Zip | 28327-6525
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Country | US
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Telephone | 910-773-3889
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Fax | 910-782-4077
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Authorized Official
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Title or Position | OWNER/FAMILY NURSE PRACTITIONER
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Name | MRS. PAMELA BENNETT
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Credential | FNP-C
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Telephone | 910-986-6397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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