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General NPI Number Information
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NPI Number | 1336234426
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF ASHEBORO, P.C.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 N COX ST STE 6
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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 | 336-633-1937
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Fax | 336-633-1942
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Provider Business Mailing Address
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Address Line | PO BOX 4577
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City | ASHEBORO
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State | NC
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Zip | 27204-4577
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Country | US
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Telephone | 336-633-1937
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Fax | 336-633-1942
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MICHELLE BLAKE
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Credential |
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Telephone | 336-633-1937
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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 |
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License Number State |
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