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General NPI Number Information
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NPI Number | 1336182096
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Entity Type | Organization
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Legal Business Name | CHARLES S. BETTS, MD
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 350 NORTH COX STREET SUITE #16
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City | ASHEBORO
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State | NC
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Zip | 27203-5514
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Country | US
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Telephone | 336-629-7710
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Fax | 336-629-6123
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Provider Business Mailing Address
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Address Line | 350 NORTH COX STREET SUITE #16
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City | ASHEBORO
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State | NC
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Zip | 27203-5514
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Country | US
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Telephone | 336-629-7710
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Fax | 336-629-6123
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | MRS. CHRISTY LYNN COCKMAN
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Credential |
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Telephone | 336-629-7710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18490
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License Number State | NC
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