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General NPI Number Information
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NPI Number | 1962404384
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Entity Type | Organization
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Legal Business Name | REGIONAL DIABETES AND ENDOCRINE CENTER
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 101 ROBESON ST STE 405
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5520
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Country | US
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Telephone | 910-615-1623
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Fax | 910-321-6248
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Provider Business Mailing Address
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Address Line | PO BOX 40908
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-0908
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Country | US
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Telephone | 910-615-6448
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Fax | 910-615-5070
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Authorized Official
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Title or Position | VP CORPORATE REVEUNE CYCLE
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Name | JOSEPH BARTON FISER
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Credential |
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Telephone | 910-615-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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