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General NPI Number Information
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NPI Number | 1922928548
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Entity Type | Organization
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Legal Business Name | ENO RIVER FAMILY DPC PLLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 1002 BROAD ST
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City | DURHAM
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State | NC
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Zip | 27705-4144
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Country | US
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Telephone | 984-253-1564
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Fax | 984-363-8732
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Provider Business Mailing Address
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Address Line | 1002 BROAD ST
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City | DURHAM
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State | NC
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Zip | 27705-4144
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Country | US
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Telephone | 984-253-1564
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Fax | 984-363-8732
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Authorized Official
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Title or Position | FNP
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Name | HEATHER FAYHEE
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Credential | FNP
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Telephone | 984-253-1564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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