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General NPI Number Information
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NPI Number | 1922142066
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Entity Type | Organization
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Legal Business Name | PINES QUICK CARE & FAMILY MEDICINE P.A.
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 308 S. LAWRENCE ST.
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City | ROCKINGHAM
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State | NC
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Zip | 28379
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Country | US
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Telephone | 910-895-0444
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Fax | 910-895-0707
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Provider Business Mailing Address
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Address Line | 308 S. LAWRENCE ST.
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City | ROCKINGHAM
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State | NC
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Zip | 28379
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Country | US
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Telephone | 910-895-0444
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Fax | 910-895-0707
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | MS. SHARI F. BEALE
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Credential | MPA
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Telephone | 910-895-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 96-00276
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License Number State | NC
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