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General NPI Number Information
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NPI Number | 1346250214
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Entity Type | Organization
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Legal Business Name | PIEDMONT RHEUMATOLOGY, P.A.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 225 18TH ST SE
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City | HICKORY
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State | NC
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Zip | 28602-1364
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Country | US
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Telephone | 828-322-1996
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Fax | 828-322-4078
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Provider Business Mailing Address
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Address Line | 225 18TH ST SE
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City | HICKORY
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State | NC
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Zip | 28602-1364
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Country | US
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Telephone | 828-322-1996
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Fax | 828-322-4078
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KENDRA LEATHERMAN
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Credential |
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Telephone | 828-322-9912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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