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General NPI Number Information
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NPI Number | 1982530044
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Entity Type | Organization
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Legal Business Name | WAKE FOREST HEALTH NETWORK LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 400 JOHNSON RIDGE MEDICAL PARK
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City | ELKIN
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State | NC
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Zip | 28621-2447
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Country | US
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Telephone | 336-526-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 400 JOHNSON RIDGE MEDICAL PARK
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City | ELKIN
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State | NC
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Zip | 28621-2447
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Country | US
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Telephone | 336-526-4500
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Fax |
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Authorized Official
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Title or Position | SR VP CLINICAL OPERATIONS
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Name | CRAIG MICHAEL GREVEN
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Credential | MD
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Telephone | 336-716-1331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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