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General NPI Number Information
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NPI Number | 1942269451
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Entity Type | Organization
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Legal Business Name | TRIANGLE COMMUNITY PHYSICIANS, P.A.
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 4309 MEDICAL PARK DR SUITE 200
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City | DURHAM
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State | NC
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Zip | 27704-2388
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Country | US
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Telephone | 919-471-4484
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Fax | 919-477-6131
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Provider Business Mailing Address
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Address Line | 4309 MEDICAL PARK DR SUITE 200
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City | DURHAM
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State | NC
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Zip | 27704-2388
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Country | US
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Telephone | 919-471-4484
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Fax | 919-477-6131
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHELIA R CAPEL
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Credential |
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Telephone | 919-479-2860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 38758
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License Number State | NC
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