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General NPI Number Information
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NPI Number | 1861592644
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Entity Type | Organization
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Legal Business Name | NC CENTER FOR REPRODUCTIVE MEDICINE
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 ASHVILLE AVE
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City | CARY
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State | NC
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Zip | 27518
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Country | US
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Telephone | 919-233-1680
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Fax | 919-233-1685
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Provider Business Mailing Address
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Address Line | 400 ASHVILLE AVE
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City | CARY
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State | NC
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Zip | 27518
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Country | US
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Telephone | 919-233-1680
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Fax | 919-233-1685
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Authorized Official
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Title or Position | MANAGER
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Name | KAMAL S TOMA
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Credential |
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Telephone | 919-233-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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