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NPI 1427387281

NPI 1427387281 : CARESMATIC ESTATES LLC : WAXHAW, NC

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General NPI Number Information
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    NPI Number           |    1427387281
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARESMATIC ESTATES LLC 
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Dates
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    Enumeration Date     |    12/08/2009
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    Last Update Date     |    12/09/2009
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Provider Practice Location Address
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    Address Line         |    520 PEMBROKE LN 
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    City                 |    WAXHAW
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    State                |    NC
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    Zip                  |    28173-6532
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    Country              |    US
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    Telephone            |    704-246-6760
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    Fax                  |    704-246-6760
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Provider Business Mailing Address
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    Address Line         |    520 PEMBROKE LN 
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    City                 |    WAXHAW
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    State                |    NC
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    Zip                  |    28173-6532
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    Country              |    US
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    Telephone            |    704-246-6760
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    Fax                  |    704-246-6760
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |     SHERRIE LYNN RHINEHART 
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    Credential           |    
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    Telephone            |    704-246-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QA0005X
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    Taxonomy Name        |    Ambulatory Family Planning Facility
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    License Number       |    FCL-090-030
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    License Number State |    NC
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