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General NPI Number Information
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NPI Number | 1851600159
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Entity Type | Organization
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Legal Business Name | WILMINGTON HEALTH PLLC
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 20 SOUTHEND CT
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City | HAMPSTEAD
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State | NC
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Zip | 28443-7013
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Country | US
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Telephone | 910-772-6558
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Fax | 910-270-2290
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Provider Business Mailing Address
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Address Line | 20 SOUTHEND CT
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City | HAMPSTEAD
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State | NC
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Zip | 28443-7013
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Country | US
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Telephone | 910-772-6558
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Fax | 910-270-2290
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | CHASITY CHACE
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Credential |
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Telephone | 910-341-3384
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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 | 73991
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License Number State | NC
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