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General NPI Number Information
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NPI Number | 1033255799
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Entity Type | Organization
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Legal Business Name | ARTHUR GRAY INCORPORATED
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1507 LIVE OAK ST SUITE D
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City | BEAUFORT
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State | NC
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Zip | 28516-1573
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Country | US
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Telephone | 252-838-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 CALICO DR
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4423
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Country | US
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Telephone | 252-726-1192
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEPHEN ARTHUR FREEMAN
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Credential | PT
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Telephone | 252-726-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | 1028
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License Number State | NC
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