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General NPI Number Information
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NPI Number | 1922241769
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Entity Type | Organization
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Legal Business Name | MACGREGOR OB/GYN, PA
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 160 MACGREGOR PINES DR SUITE 101
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City | CARY
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State | NC
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Zip | 27511-6036
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Country | US
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Telephone | 919-233-0488
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Fax | 919-233-8645
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Provider Business Mailing Address
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Address Line | 160 MACGREGOR PINES DR SUITE 101
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City | CARY
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State | NC
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Zip | 27511-6036
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Country | US
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Telephone | 919-233-0488
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Fax | 919-233-8645
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. KRISTEN WIGGINS
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Credential |
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Telephone | 919-233-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 156590
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License Number State | NC
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