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General NPI Number Information
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NPI Number | 1245587534
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Entity Type | Organization
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Legal Business Name | FRENCH BROAD PEDIATRIC ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 40 N MERRIMON AVE SUITE 117
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City | ASHEVILLE
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State | NC
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Zip | 28804-1368
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Country | US
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Telephone | 828-348-8232
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Fax | 855-323-6740
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Provider Business Mailing Address
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Address Line | 40 N MERRIMON AVE SUITE 117
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City | ASHEVILLE
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State | NC
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Zip | 28804-1368
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Country | US
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Telephone | 828-348-8232
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Fax | 855-323-6740
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOHN D TEMPLETON
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Credential | MD
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Telephone | 828-348-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 200000996
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License Number State | NC
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