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General NPI Number Information
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NPI Number | 1366558959
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Entity Type | Organization
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Legal Business Name | CAROLINAS MEDICAL CENTER
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1350 S KINGS DR STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28207-2134
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Country | US
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Telephone | 704-446-1400
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Fax | 704-446-1410
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Provider Business Mailing Address
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Address Line | PO BOX 602452
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City | CHARLOTTE
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State | NC
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Zip | 28260-2452
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Country | US
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Telephone | 704-446-1400
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Fax | 704-446-1410
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Authorized Official
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Title or Position | VP PHARMACY SERVICES
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Name | MR. DON MABE
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Credential | RPH, MBA, MHA
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Telephone | 704-512-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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