Type 2 organization · NPI 1013838788
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175T00000X · DURHAM, NC
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 175T00000X | 175T00000X | Primary |
| 101YM0800X | 101YM0800X | Additional |
| 1041C0700X | 1041C0700X | Additional |
| 172V00000X | 172V00000X | Additional |
| 174200000X | 174200000X | Additional |
| 177F00000X | 177F00000X | Additional |
| 251B00000X | 251B00000X | Additional |
| 261QR0800X | 261QR0800X | Additional |
| 305S00000X | 305S00000X | Additional |
| 372600000X | 372600000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 1 recorded field change