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General NPI Number Information
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NPI Number | 1881460855
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA BAPTIST HOSPITAL
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 2295 E 14TH ST
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City | WINSTON SALEM
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State | NC
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Zip | 27105-6804
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Country | US
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Telephone | 336-716-0888
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Fax | 336-716-0840
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Provider Business Mailing Address
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Address Line | PO BOX 602078
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City | CHARLOTTE
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State | NC
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Zip | 28260-2078
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Country | US
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Telephone | 336-713-7785
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Fax | 336-702-9190
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Authorized Official
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Title or Position | DIRECTOR
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Name | REGINA SCHOMBERG
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Credential |
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Telephone | 336-713-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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