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General NPI Number Information
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NPI Number | 1942360185
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Entity Type | Organization
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Legal Business Name | NEWBERN MEDICAL ARTS PHCY INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 1916 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28560-2320
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Country | US
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Telephone | 252-638-6131
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Fax | 252-638-3520
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Provider Business Mailing Address
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Address Line | 1916 NEUSE BLVD
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City | NEW BERN
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State | NC
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Zip | 28560-2320
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARM AND MGR
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Name | CYNTHIA BURROWS
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Credential | RPH
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Telephone | 252-638-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 02704
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License Number State | NC
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