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General NPI Number Information
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NPI Number | 1891228771
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Entity Type | Individual
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Provider Name | MARY NOORY M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 517 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-2849
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Country | US
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Telephone | 252-847-4299
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Fax | 252-847-8208
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Provider Business Mailing Address
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Address Line | PO BOX 751069
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.160518
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2023-02185
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License Number State | NC
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