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General NPI Number Information
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NPI Number | 1043398209
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Entity Type | Organization
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Legal Business Name | FOOTHILLS INTERNAL MEDICINE
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1321 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-2535
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Country | US
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Telephone | 828-322-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-2535
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Country | US
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Telephone | 828-322-3898
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. BRANDI SHAW GUARINO
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Credential |
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Telephone | 828-322-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21863
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9900062
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 101975
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NC
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