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General NPI Number Information
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NPI Number | 1386157113
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Entity Type | Organization
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Legal Business Name | MEDEXPRESS URGENT CARE NORTH CAROLINA, P.C.
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Dates
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Enumeration Date | 11/15/2017
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 201 N PENDLETON ST
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City | HIGH POINT
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State | NC
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Zip | 27260-5800
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Country | US
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Telephone | 336-884-0383
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Fax | 336-884-0388
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Provider Business Mailing Address
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Address Line | 1001 CONSOL ENERGY DR
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City | CANONSBURG
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State | PA
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Zip | 15317-6506
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Country | US
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Telephone | 304-225-2500
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Fax | 724-743-1133
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Authorized Official
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Title or Position | DIRECTOR PAYOR CONTRACTING
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Name | BRETT GALL
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Credential |
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Telephone | 304-225-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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