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General NPI Number Information
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NPI Number | 1235504457
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Entity Type | Organization
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Legal Business Name | ORTHOCAROLINA
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 150 FAIRVIEW RD STE 230
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City | MOORESVILLE
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State | NC
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Zip | 28117-9508
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Country | US
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Telephone | 704-323-2921
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Fax | 704-323-3994
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Provider Business Mailing Address
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Address Line | 4601 PARK RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28209-2290
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Country | US
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Telephone |
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Fax | 704-945-7681
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Authorized Official
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Title or Position | CFO
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Name | BRENT SHEAR
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Credential |
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Telephone | 704-323-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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