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General NPI Number Information
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NPI Number | 1265407175
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Entity Type | Organization
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Legal Business Name | CAROLINAS ANSON HEALTHCARE INC.
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 2301 US HIGHWAY 74 W
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City | WADESBORO
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State | NC
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Zip | 28170-7554
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Country | US
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Telephone | 704-994-4500
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Fax | 704-994-4501
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Provider Business Mailing Address
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Address Line | 2301 US HIGHWAY 74 W
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City | WADESBORO
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State | NC
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Zip | 28170-7554
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Country | US
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Telephone | 704-994-4500
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Fax | 704-994-4501
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JOHN G MOORE
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Credential |
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Telephone | 704-695-3402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC1119
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H0082
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License Number State | NC
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