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General NPI Number Information
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NPI Number | 1346432838
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Entity Type | Organization
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Legal Business Name | CMC-NORTHEAST, INC.
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 301 YADKIN ST STANLY REGIONAL HOSPITALIST PHYSICIANS
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City | ALBEMARLE
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State | NC
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Zip | 28001-3441
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Country | US
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Telephone | 704-984-4365
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Fax | 704-983-7856
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Provider Business Mailing Address
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Address Line | 301 YADKIN ST STANLY REGIONAL HOSPITALIST PHYSICIANS
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City | ALBEMARLE
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State | NC
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Zip | 28001-3441
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Country | US
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Telephone | 704-984-4365
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Fax | 704-983-7856
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Authorized Official
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Title or Position | VP PHYSICIAN SERVICES
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Name | FRIEDA M LOWDER
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Credential |
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Telephone | 704-403-4146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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