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LARRY DASHOW MD PC NPI 1528247137


NPI Information

NPI: 1528247137
Provider Name: LARRY DASHOW MD PC

Doing Business As: PENDER SURGICAL SERVICE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
308 S BENNETT ST
BURGAW, NC
ZIP 28425
Phone: (910) 259-8001
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LARRY DASHOW MD PC is a specialist in Burgaw, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LARRY DASHOW MD PC NPI is 1528247137. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pender Surgical Service.

The provider's business location address is:

308 S BENNETT ST
BURGAW, NC
ZIP 28425-048
Phone: (910) 259-8001
Fax: (910) 259-8003

The provider's authorized official is Larry J Dashow .
The authorized official title is President and has the following contact phone number (910) 259-8001.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 8/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist200300461NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113350OTHERNORTH CAROLINABCBS
22333449MEDICARE PINNORTH CAROLINA
38913350MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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