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General NPI Number Information
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NPI Number | 1063671436
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Entity Type | Organization
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Legal Business Name | CAROLINA GENERATORS, LLC
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 9699 W PINE ST
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City | LOWGAP
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State | NC
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Zip | 27024-7130
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Country | US
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Telephone | 336-352-3999
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Fax | 336-352-3999
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Provider Business Mailing Address
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Address Line | 489 N WILSON RD
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City | LOWGAP
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State | NC
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Zip | 27024-7440
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Country | US
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Telephone | 336-352-3999
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Fax | 336-352-3999
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRAD HARRISON I
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Credential |
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Telephone | 336-352-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number | 600481616
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License Number State | NC
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