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General NPI Number Information
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NPI Number | 1336341296
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Entity Type | Individual
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Provider Name | CARL J PORCHEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 624 W MAIN ST
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City | YADKINVILLE
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State | NC
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Zip | 27055-7804
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Country | US
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Telephone | 336-679-2041
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Fax | 336-679-6744
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Provider Business Mailing Address
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Address Line | 1109 BOULDER RD
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City | YADKINVILLE
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State | NC
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Zip | 27055-5609
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Country | US
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Telephone | 336-961-4574
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Fax | 336-679-6744
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 651
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License Number State | NC
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