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General NPI Number Information
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NPI Number | 1073281374
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Entity Type | Organization
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Legal Business Name | CONCERTOCARE MEDICAL GROUP OF NORTH CAROLINA, PC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2530 MERIDIAN PKWY STE 300
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City | DURHAM
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State | NC
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Zip | 27713-5273
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Country | US
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Telephone | 877-597-1440
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 801280
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City | KANSAS CITY
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State | MO
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Zip | 64180-1280
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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 | MEDICAL DIRECTOR
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Name | STEVEN LEWIS
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Credential | MD
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Telephone | 804-229-4606
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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 |
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License Number State |
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