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General NPI Number Information
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NPI Number | 1306517073
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CONSULTANTS OF NORTH CAROLINA, PLLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 11221 GALLERIA AVE STE 101
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City | RALEIGH
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State | NC
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Zip | 27614-8137
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Country | US
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Telephone | 919-562-9410
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Fax |
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Provider Business Mailing Address
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Address Line | 1 COPLEY PKWY STE 310
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City | MORRISVILLE
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State | NC
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Zip | 27560-7423
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Country | US
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Telephone | 919-384-0700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINCENT HOELLERICH
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Credential | MD
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Telephone | 919-384-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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