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General NPI Number Information
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NPI Number | 1003256926
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Entity Type | Organization
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Legal Business Name | CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 2700 PROVIDENCE RD S SUITE 180
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City | WAXHAW
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State | NC
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Zip | 28173-6313
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Country | US
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Telephone | 704-863-8750
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 601888
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City | CHARLOTTE
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State | NC
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Zip | 28260-1888
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Country | US
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Telephone | 704-355-5660
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Fax |
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Authorized Official
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Title or Position | SVP
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Name | MR. THOMAS FORD LAYMON
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Credential |
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Telephone | 704-631-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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