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General NPI Number Information
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NPI Number | 1023074580
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Entity Type | Organization
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Legal Business Name | CALDWELL EMERGENCY MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 321 MULBERRY ST SW
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City | LENOIR
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State | NC
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Zip | 28645-5720
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Country | US
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Telephone | 843-237-3378
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Fax | 843-237-5073
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Provider Business Mailing Address
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Address Line | 319 SPRINGWOOD DR NE
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City | VALDESE
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State | NC
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Zip | 28690-8710
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Country | US
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Telephone | 828-879-8419
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID PARKER
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Credential |
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Telephone | 828-879-8419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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