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General NPI Number Information
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NPI Number | 1457510414
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Entity Type | Organization
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Legal Business Name | CAROLINA NEUROLOGY CENTER PLLC
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 50 HOSPITAL DR SUITE 1 A
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5248
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Country | US
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Telephone | 828-684-1119
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Fax | 828-684-1184
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Provider Business Mailing Address
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Address Line | 50 HOSPITAL DRIVE SUITE 1 A
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City | HENDERSONVILLE
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State | NC
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Zip | 28803
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Country | US
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Telephone | 828-684-1119
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Fax | 828-684-1184
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Authorized Official
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Title or Position | MD
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Name | ANEETA GUPTA
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Credential |
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Telephone | 828-684-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273100000X
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Taxonomy Name | Epilepsy Hospital Unit
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License Number | 200101210
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License Number State | NC
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