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General NPI Number Information
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NPI Number | 1114958204
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Entity Type | Organization
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Legal Business Name | CAROLINA RADIOLOGY PA
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2304 WESVILL CT SUITE 110
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City | RALEIGH
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State | NC
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Zip | 27607-2973
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Country | US
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Telephone | 919-614-0906
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 SAINT MARYS ST
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City | RALEIGH
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State | NC
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Zip | 27608-2224
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Country | US
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Telephone | 919-614-0906
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER L THARRINGTON
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Credential | MD
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Telephone | 919-614-0906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9400160
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License Number State | NC
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