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General NPI Number Information
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NPI Number | 1295770493
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Entity Type | Organization
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Legal Business Name | CAROLINA TAR HEEL, INC.
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1018 LEWIS ST
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City | OXFORD
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State | NC
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Zip | 27565-6114
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Country | US
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Telephone | 919-693-6276
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Fax | 919-693-4724
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Provider Business Mailing Address
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Address Line | 1018 LEWIS ST
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City | OXFORD
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State | NC
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Zip | 27565-6114
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Country | US
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Telephone | 919-693-6276
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Fax | 919-693-4724
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. PATRICIA HARDEN
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Credential |
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Telephone | 919-693-6276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1607
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License Number State | NC
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