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General NPI Number Information
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NPI Number | 1346550456
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Entity Type | Organization
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Legal Business Name | WNC HYPERTENSION CENTER
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 200 CHARLOTTE ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-1923
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Country | US
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Telephone | 828-258-9068
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Fax | 828-253-7826
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Provider Business Mailing Address
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Address Line | 200 CHARLOTTE ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-1923
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Country | US
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Telephone | 828-258-9068
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Fax | 828-253-7826
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALD RENORD CALDWELL
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Credential | MD
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Telephone | 828-258-9068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 20112
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License Number State | NC
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