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General NPI Number Information
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NPI Number | 1265672810
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Entity Type | Organization
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Legal Business Name | HUNTER HOPKINS CENTER, P.A.
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 10344 PARK RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28210-8505
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Country | US
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Telephone | 704-543-9692
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Fax | 704-543-8547
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Provider Business Mailing Address
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Address Line | 10344 PARK RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28210-8505
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Country | US
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Telephone | 704-543-9692
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Fax | 704-543-8547
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Authorized Official
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Title or Position | CEO
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Name | CHARLES WARREN LAPP
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Credential | M.D.
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Telephone | 704-543-9692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 9701305
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 20030
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License Number State | NC
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