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General NPI Number Information
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NPI Number | 1902075187
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Entity Type | Organization
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Legal Business Name | FORSYTH MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 291 BROAD ST DBA RHEUMATOLOGY & ARTHRITIS ASSOCIATES
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City | KERNERSVILLE
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State | NC
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Zip | 27284-2932
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Country | US
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Telephone | 336-718-7810
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Fax | 336-718-9374
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Provider Business Mailing Address
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Address Line | 2000 FRONTIS PLAZA BLVD STE 102 NOVANT MEDICAL GROUP
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5616
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Country | US
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Telephone | 336-277-2435
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Fax | 336-277-9275
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Authorized Official
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Title or Position | COO & EXECUTIVE VP
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Name | PATIRCK EASTERLING
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Credential |
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Telephone | 704-384-9094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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