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General NPI Number Information
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NPI Number | 1174818645
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Entity Type | Organization
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Legal Business Name | CAROLINA PULMONARY SOLUTIONS INC.
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 699 POCOMOKE RD
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City | FRANKLINTON
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State | NC
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Zip | 27525
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Country | US
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Telephone | 919-495-1978
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Fax |
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Provider Business Mailing Address
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Address Line | 699 POCOMOKE RD
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City | FRANKLINTON
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State | NC
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Zip | 27525
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Country | US
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Telephone | 919-495-1978
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Fax |
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Authorized Official
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Title or Position | REGISTERED RESPIRATORY THERAPIST/OW
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Name | MR. JOSHUA CHRISTOPHER P CHRISTOPHER PENDERGRAFT
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Credential | RRT,RCP
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Telephone | 919-495-1978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number | A-4266
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License Number State | NC
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