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General NPI Number Information
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NPI Number | 1285843847
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Entity Type | Organization
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Legal Business Name | P BRENT KING, D.O.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 101 CHADWICK SQUARE CT SUITEC
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-3231
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Country | US
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Telephone | 828-696-2515
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Fax | 828-696-8826
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Provider Business Mailing Address
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Address Line | 101 CHADWICK SQUARE CT SUITEC
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-3231
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Country | US
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Telephone | 828-696-2515
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Fax | 828-696-8826
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PETER BRENT KING
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Credential | D.O.
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Telephone | 828-242-2582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 97-01437
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License Number State | NC
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