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General NPI Number Information
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NPI Number | 1154837706
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Entity Type | Organization
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Legal Business Name | CAROLINA HEALTH CENTER
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 152 MILESTONE WAY
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City | GREENVILLE
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State | SC
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Zip | 29601-2960
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Country | US
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Telephone | 828-438-1566
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Fax | 828-438-1566
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Provider Business Mailing Address
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Address Line | 152 MILESTONE WAY
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City | GREENVILLE
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State | SC
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Zip | 29615-6606
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Country | US
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Telephone | 828-782-0790
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER KAPETANAKOS
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Credential |
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Telephone | 864-546-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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