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General NPI Number Information
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NPI Number | 1831168103
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS FAMILY PRACTICE, PA
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 413 OWEN DR SUITE 201
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3411
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Country | US
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Telephone | 910-323-9111
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Fax | 910-484-2535
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Provider Business Mailing Address
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Address Line | 413 OWEN DR SUITE 201
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3411
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Country | US
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Telephone | 910-323-9111
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Fax | 910-484-2535
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. MELINDA M HINMAN
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Credential |
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Telephone | 910-323-9111
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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 | 60921
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License Number State | NC
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