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Dr. Larry J Dashow, MD
Specialist in Burgaw, North Carolina
NPI 1326001447

Larry J Dashow is a Specialist based in Burgaw, NC. Larry J Dashow practices in Burgaw, NC and has the professional credentials of MD. The NPI Number for Larry J Dashow is 1326001447 and holds a License No. (North Carolina).

The current practice location address for Larry J Dashow is 308 S Bennett St, Burgaw, NC and can be reached out via phone at 910-259-8001 and via fax at 910-259-8003.

Location: 308 S Bennett St, Burgaw, NC, 28425-0219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326001447
Provider Name
Larry J Dashow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
308 S Bennett St, Burgaw, NC, 28425-0219
Phone Number
910-259-8001
Fax Number
910-259-8003
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8913350 05 NC
13350 01 NC BCBS OF NC PROVIDER #
institution
Provider Business Practice Location Address Details
Address
308 S Bennett St
City
Burgaw
State
North Carolina
Zip
28425-5048
Phone Number
910-259-8001
Fax Number
910-259-8003
person
Provider Business Mailing Address Details
Address
308 S Bennett St
City
Burgaw
State
North Carolina
Zip
28425-5048
Phone Number
910-259-8001
Fax Number
910-259-8003
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(North Carolina)
Definition
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.
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