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General NPI Number Information
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NPI Number | 1215215488
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Entity Type | Organization
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Legal Business Name | CAROLINAS INTERNAL MEDICINE
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 294 N HIGHWAY 16 STE A
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City | DENVER
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State | NC
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Zip | 28037-8011
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Country | US
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Telephone | 704-556-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 294 N HIGHWAY 16 STE A
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City | DENVER
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State | NC
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Zip | 28037-8011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NEIL SCOTT REECE
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Credential |
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Telephone | 704-556-8110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 900138
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License Number State | NC
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