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General NPI Number Information
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NPI Number | 1295189009
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Entity Type | Organization
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Legal Business Name | CENTRAL AUTOMOTIVE ENTERPRISE
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 87 ARMINDA RD
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City | ROWLAND
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State | NC
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Zip | 28383-9539
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Country | US
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Telephone | 910-740-1713
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2754
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City | PEMBROKE
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State | NC
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Zip | 28372-2754
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Country | US
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Telephone | 910-740-1713
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MANFORD LOCKLEAR
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Credential |
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Telephone | 910-740-1713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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