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General NPI Number Information
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NPI Number | 1306741418
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Entity Type | Organization
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Legal Business Name | ADVANCED LASER SPECIALISTS OF CHEROKEE, PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1108 ACQUONI RD
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City | CHEROKEE
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State | NC
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Zip | 28719
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Country | US
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Telephone | 678-634-7142
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 ACQUONI RD
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City | CHEROKEE
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State | NC
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Zip | 28719
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Country | US
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Telephone | 678-634-7142
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Fax |
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Authorized Official
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Title or Position | FOOT & ANKLE SURGERY PODIATRIST
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Name | DR. CARMEN ELIZABETH JOHNSON
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Credential | D.P.M
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Telephone | 678-634-7142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | NULL
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