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General NPI Number Information
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NPI Number | 1427176585
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Entity Type | Organization
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Legal Business Name | CAROLINA DIAGNOSTICS INC
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 123 SUNNYBROOK RD STE 140
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City | RALEIGH
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State | NC
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Zip | 27610-2783
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Country | US
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Telephone | 919-250-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CORPORATE PL SUITE 5B
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City | PEABODY
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State | MA
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Zip | 01960-3840
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Country | US
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Telephone | 978-536-7400
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Fax |
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Authorized Official
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Title or Position | EVP-CFO
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Name | CARL R IBERGER
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Credential |
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Telephone | 978-536-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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