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General NPI Number Information
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NPI Number | 1093914996
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Entity Type | Organization
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Legal Business Name | CATAWBA VALLEY INTERNAL MEDICINE
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 1771 TATE BLVD SE STE 103
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City | HICKORY
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State | NC
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Zip | 28602-4250
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Country | US
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Telephone | 828-322-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 1771 TATE BLVD SE STE 103
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City | HICKORY
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State | NC
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Zip | 28602-4250
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Country | US
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Telephone | 828-322-1128
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Fax | 828-327-9431
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Authorized Official
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Title or Position | PRACTICE MGR
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Name | DELINDA J MAUNEY
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Credential |
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Telephone | 828-322-1128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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