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General NPI Number Information
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NPI Number | 1134527229
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL ALLIANCE INC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 1594 FREEDOM BLVD STE 205
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City | FLORENCE
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State | SC
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Zip | 29505-6046
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Country | US
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Telephone | 843-674-1453
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Fax | 843-674-6810
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Provider Business Mailing Address
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Address Line | 1594 FREEDOM BLVD STE 205
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City | FLORENCE
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State | SC
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Zip | 29505-6046
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Country | US
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Telephone | 843-674-1453
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Fax | 843-674-6810
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMES P WRIGHT
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Credential |
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Telephone | 615-465-7633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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