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General NPI Number Information
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NPI Number | 1932160207
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Entity Type | Organization
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Legal Business Name | PINEWEST OBGYN INC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 306 WESTWOOD AVE SUITE 501
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City | HIGH POINT
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State | NC
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Zip | 27262-4341
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Country | US
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Telephone | 336-885-0149
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Fax | 336-885-0101
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Provider Business Mailing Address
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Address Line | PO BOX 6415
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City | HIGH POINT
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State | NC
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Zip | 27262-6415
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Country | US
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Telephone | 336-885-0149
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Fax | 336-885-0101
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JANICE T WELBORN
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Credential | RN
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Telephone | 336-885-0149
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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 |
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License Number State | NC
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