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General NPI Number Information
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NPI Number | 1053296509
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Entity Type | Organization
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Legal Business Name | CAROLINA MEDICORP ENTERPRISES, LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 910 E INNES ST
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City | SALISBURY
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State | NC
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Zip | 28144-4638
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Country | US
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Telephone | 980-330-6898
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 601843
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City | CHARLOTTE
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State | NC
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Zip | 28260-1843
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RCS MANAGER
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Name | LEEA JEANINE WALTON
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Credential |
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Telephone | 43-166-0817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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