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General NPI Number Information
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NPI Number | 1396392197
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Entity Type | Organization
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Legal Business Name | CAROLINA PAIN RELIEF CENTER PLLC
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 4146 MENDENHALL OAKS PKWY STE 105
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City | HIGH POINT
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State | NC
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Zip | 27265-8034
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Country | US
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Telephone | 336-740-9580
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Fax | 336-790-4182
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Provider Business Mailing Address
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Address Line | 2902 TURNER GROVE DR N
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City | GREENSBORO
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State | NC
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Zip | 27455-1977
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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 | OWNER
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Name | FRENESA HALL
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Credential | MD
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Telephone | 336-740-9580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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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