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General NPI Number Information
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NPI Number | 1104789114
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Entity Type | Organization
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Legal Business Name | CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3930 REYNOLDA RD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-1712
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Country | US
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Telephone | 336-703-4283
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Fax | 336-245-4592
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Provider Business Mailing Address
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Address Line | 202D MCGILL AVE NW
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City | CONCORD
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State | NC
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Zip | 28025-4615
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Country | US
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Telephone | 704-792-2242
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Fax | 704-792-2250
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MAYRA RODRIGUEZ-CACERES
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Credential |
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Telephone | 704-792-2315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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