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General NPI Number Information
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NPI Number | 1285722801
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Entity Type | Organization
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Legal Business Name | MOUNTAIN AREA FAMILY MEDICINE, PA
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 57 WHITE OWL LANE
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City | CASHIERS
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State | NC
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Zip | 28717-0000
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Country | US
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Telephone | 828-743-2491
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Fax | 828-743-3060
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Provider Business Mailing Address
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Address Line | PO BOX 1828
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City | CASHIERS
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State | NC
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Zip | 28717-1828
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Country | US
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Telephone | 828-743-2491
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Fax | 828-743-3060
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. DAVID WHEELER
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Credential | MD
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Telephone | 828-743-2491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 63833
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License Number State | NC
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