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General NPI Number Information
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NPI Number | 1447256854
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Entity Type | Individual
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Provider Name | THOMAS FRANCIS TRAHEY III M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 1028 LEE ANN DR NE SUITE 100
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City | CONCORD
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State | NC
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Zip | 28025-2903
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Country | US
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Telephone | 704-316-5353
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Fax | 704-316-5354
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Provider Business Mailing Address
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Address Line | 1718 E 4TH ST SUITE 501
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City | CHARLOTTE
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State | NC
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Zip | 28204-3261
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Country | US
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Telephone | 704-343-9800
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Fax | 704-347-2011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 30749
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 30749
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License Number State | NC
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