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General NPI Number Information
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NPI Number | 1376684076
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Entity Type | Organization
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Legal Business Name | FRYECARE PHYSICIANS , LLC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 415 N CENTER ST STE 203
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City | HICKORY
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State | NC
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Zip | 28601-5036
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Country | US
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Telephone | 919-777-2850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100183
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City | ATLANTA
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State | GA
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Zip | 30384-0183
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGIONAL CFO, TENET
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Name | MR. WESLEY O. JAMES
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Credential |
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Telephone | 404-265-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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