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General NPI Number Information
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NPI Number | 1093993727
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Entity Type | Organization
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Legal Business Name | CAROLINA MOUNTAIN GASTROENTEROLOGY ENDOSCOPY CENTER
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1032 FLEMING STREET
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3532
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Country | US
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Telephone | 828-696-3099
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Fax | 828-774-5469
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Provider Business Mailing Address
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Address Line | 1032 FLEMING STREET
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3532
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Country | US
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Telephone | 828-696-3099
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Fax | 828-774-5469
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JAMES I RHOLL
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Credential | MD
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Telephone | 828-243-4749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AS0106
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License Number State | NC
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