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General NPI Number Information
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NPI Number | 1184321366
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Entity Type | Organization
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Legal Business Name | HIGHSTONE MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 4915 ALBEMARLE RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-6617
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Country | US
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Telephone | 704-620-4101
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Fax | 980-207-1019
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Provider Business Mailing Address
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Address Line | 4915 ALBEMARLE RD
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City | CHARLOTTE
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State | NC
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Zip | 28205-6617
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Country | US
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Telephone | 704-620-4101
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Fax | 980-207-1019
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | CAROLYN JOHNSTONE HIGHSTONE
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Credential | NP
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Telephone | 704-620-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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