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General NPI Number Information
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NPI Number | 1053399394
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Entity Type | Organization
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Legal Business Name | ARTHRITIS RHEUMATOLOGY & OSTEOPOROSIS CENTER OF NC, PA
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 5711 SIX FORKS RD 207
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City | RALEIGH
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State | NC
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Zip | 27609-3888
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Country | US
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Telephone | 919-841-9002
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Fax | 919-841-9954
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Provider Business Mailing Address
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Address Line | 5711 SIX FORKS RD 207
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City | RALEIGH
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State | NC
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Zip | 27609-3888
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Country | US
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Telephone | 919-841-9002
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Fax | 919-841-9954
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. MARK WIENER
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Credential | CMPE
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Telephone | 919-841-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 87310
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License Number State | NC
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