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General NPI Number Information
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NPI Number | 1245105279
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Entity Type | Organization
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Legal Business Name | CAROLINA VASCULAR CARE SURGERY CENTER PLLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 30 AZIMUTH CT
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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Country | US
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Telephone | 252-220-5470
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Fax |
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Provider Business Mailing Address
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Address Line | 30 AZIMUTH CT
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City | ROCKY MOUNT
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State | NC
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Zip | 27804
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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 | OWNER/PROVIDER
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Name | KARN GUPTA
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Credential | MD
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Telephone | 216-280-7353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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