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General NPI Number Information
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NPI Number | 1134179161
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Entity Type | Organization
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Legal Business Name | EASTERN BAND OF CHEROKEE INDIANS
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 969 ACQUONI ROAD
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City | CHEROKEE
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State | NC
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Zip | 28719
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Country | US
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Telephone | 828-497-1085
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Fax | 828-497-9554
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Provider Business Mailing Address
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Address Line | PO BOX 63303
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City | CHARLOTTE
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State | NC
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Zip | 28263-3303
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Country | US
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Telephone | 855-626-9660
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Fax | 937-291-2971
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Authorized Official
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Title or Position | SECRETARY OF TREASURY
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Name | CORY MATTHEW BLANKENSHIP
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Credential |
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Telephone | 828-359-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1206
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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