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NPI 1245507516

NPI 1245507516 : CATAWBA VALLEY MEDICAL GROUP, INC : NEWTON, NC

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General NPI Number Information
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    NPI Number           |    1245507516
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    Entity Type          |    Organization 
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    Legal Business Name  |    CATAWBA VALLEY MEDICAL GROUP, INC 
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Dates
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    Enumeration Date     |    11/30/2011
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    Last Update Date     |    11/17/2023
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Provider Practice Location Address
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    Address Line         |    105 S MAIN AVE STE B 
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    City                 |    NEWTON
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    State                |    NC
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    Zip                  |    28658-3359
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    Country              |    US
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    Telephone            |    828-732-5180
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    Fax                  |    828-732-5181
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Provider Business Mailing Address
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    Address Line         |    105 S MAIN AVE STE B 
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    City                 |    NEWTON
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    State                |    NC
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    Zip                  |    28658-3359
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    Country              |    US
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    Telephone            |    828-732-5180
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    Fax                  |    828-732-5181
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Authorized Official
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    Title or Position    |    VP OF FINANCE/CFO
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    Name                 |     PAMELA  GALLAGHER 
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    Credential           |    
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    Telephone            |    828-326-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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