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General NPI Number Information
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NPI Number | 1427872548
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Entity Type | Organization
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Legal Business Name | RALEIGH EMERGENCY SURGICAL, INC
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 7930 SKYLAND RIDGE PKWY STE 203
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City | RALEIGH
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State | NC
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Zip | 27617-6813
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Country | US
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Telephone | 919-881-8295
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Fax |
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Provider Business Mailing Address
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Address Line | 1303 CANTERBURY RD
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City | RALEIGH
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State | NC
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Zip | 27608-1901
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Country | US
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Telephone | 919-414-7284
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | HARRY KURTZ
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Credential | PA-C
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Telephone | 561-628-7115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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