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11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 | |
(919) 435-6111 | |
(919) 435-6113 |
Full Name | |
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Speciality | Internal Medicine |
Location | 11081 Forest Pines Dr, Raleigh, North Carolina |
Authorized Official Name and Position | Lavinia T Reyes (OWNER/PRESIDENT) |
Authorized Official Contact | 9195565063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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12200 Pawleys Mill Cir Raleigh NC 27614-7976 Ph: (919) 556-5063 | 11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 Ph: (919) 435-6111 |
NPI Number | 1023413580 |
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Provider Enumeration Date | 10/27/2014 |
Last Update Date | 11/10/2014 |
Medicare PECOS PAC ID | 8224352026 |
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Medicare Enrollment ID | O20150127002115 |
Identifier | Type | State | Issuer |
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1023413580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lavinia Te Reyes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467498840 PECOS PAC ID: 9133142698 Enrollment ID: I20060110001183 |
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