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General NPI Number Information
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NPI Number | 1437191210
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Entity Type | Organization
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Legal Business Name | RUTHERFORD INTERNAL MEDICINE ASSOCIATES PA
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 181 DANIEL RD
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City | FOREST CITY
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State | NC
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Zip | 28043-7151
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Country | US
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Telephone | 828-286-9036
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1560
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City | FOREST CITY
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State | NC
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Zip | 28043-1560
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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 | ADMINISTRATOR
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Name | SHERRY MYERS
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Credential |
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Telephone | 828-288-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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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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