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General NPI Number Information
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NPI Number | 1912814328
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Entity Type | Organization
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Legal Business Name | STEDMAN WADE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 2313 MURCHISON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3517
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Country | US
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Telephone | 910-912-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 2313 MURCHISON RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3517
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Country | US
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Telephone | 910-912-5630
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | JILL WILLIAMS
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Credential |
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Telephone | 910-483-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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