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General NPI Number Information
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NPI Number | 1073845723
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Entity Type | Organization
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Legal Business Name | CAROLINA REHABILITATION AND WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 2010 W ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-5779
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Country | US
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Telephone | 252-412-7589
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20211
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City | GREENVILLE
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State | NC
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Zip | 27858-0211
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Country | US
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Telephone | 252-321-7315
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Fax | 252-321-7855
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANN CAROLINA NUNEZ
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Credential | M.D.
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Telephone | 252-412-7589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 200300855
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License Number State | NC
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