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General NPI Number Information
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NPI Number | 1154145431
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Entity Type | Organization
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Legal Business Name | FOURTY EIGHT AUTO SALES INC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1502 HIGHWAY 48 ROANOKE RAPIDS
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City | ROANOKE RAPIDS
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State | NC
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Zip | 27870
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Country | US
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Telephone | 434-532-6807
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 HIGHWAY 48 ROANOKE RAPIDS
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City | LAWRENCEVILLE
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State | NC
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Zip | 23868-2523
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Country | US
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Telephone | 434-532-6807
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICKIE LEONARD SEWARD
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Credential |
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Telephone | 434-532-6807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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