ProviderBusinessMailingAddressFaxNumber = '9194779389'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1669421608
CENTRAL CAROLINA PODIATRY PA
4119 CAPITOL ST
DURHAM
NC
277042153
1477549160
IREDALE
JOHN
RICHARD
4119 CAPITOL ST
DURHAM
NC
277042153
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