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General NPI Number Information
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NPI Number | 1144300062
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Entity Type | Organization
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Legal Business Name | GRAYSTONE FAMILY HEALTHCARE PA
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 3511 GRAYSTONE PL
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City | CONOVER
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State | NC
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Zip | 28613-8201
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Country | US
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Telephone | 828-326-9355
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Fax | 828-326-9868
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Provider Business Mailing Address
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Address Line | 3511 GRAYSTONE PL
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City | CONOVER
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State | NC
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Zip | 28613-8201
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Country | US
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Telephone | 828-326-9355
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Fax | 828-326-9868
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN ALLEN GOLD
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Credential | MDMPH
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Telephone | 828-326-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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