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General NPI Number Information
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NPI Number | 1871449561
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Entity Type | Organization
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Legal Business Name | DUKE HEALTH LAKE NORMAN REGIONAL MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 171 FAIRVIEW RD
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City | MOORESVILLE
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State | NC
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Zip | 28117-9500
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Country | US
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Telephone | 704-660-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110566
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City | DURHAM
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State | NC
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Zip | 27709-5566
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Country | US
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Telephone | 919-620-4855
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Fax |
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Authorized Official
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Title or Position | VP FINANCE
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Name | JOHN STUART SMITH
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Credential |
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Telephone | 919-613-8995
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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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