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General NPI Number Information
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NPI Number | 1235896531
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Entity Type | Organization
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Legal Business Name | HEALTHCARE OF CAROLINA, PLLC
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Dates
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Enumeration Date | 11/21/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 9723 NORTHCROSS CENTER CT STE K
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7301
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Country | US
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Telephone | 704-853-4489
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Fax |
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Provider Business Mailing Address
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Address Line | 9723 NORTHCROSS CENTER CT STE K
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7301
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Country | US
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Telephone | 704-853-4489
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HUNTER JAMES HANSEN
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Credential | D.O.
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Telephone | 704-853-4489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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