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General NPI Number Information
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NPI Number | 1467130724
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Entity Type | Organization
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Legal Business Name | CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 1210 AVID XCHANGE LN UNIT 1751
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City | CHARLOTTE
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State | NC
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Zip | 28206-3560
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Country | US
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Telephone | 704-472-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 AVID XCHANGE LN UNIT 1751
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City | CHARLOTTE
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State | NC
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Zip | 28206-3560
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Country | US
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Telephone | 704-472-1332
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GREGORY BYERS
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Credential |
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Telephone | 704-512-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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