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General NPI Number Information
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NPI Number | 1467394387
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Entity Type | Organization
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Legal Business Name | CAROLINA HAND THERAPY SPECIALIST PLLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 3535 RANDOLPH RD STE 206
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City | CHARLOTTE
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State | NC
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Zip | 28211-1082
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Country | US
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Telephone | 614-390-8049
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Fax |
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Provider Business Mailing Address
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Address Line | 11425 FAIRES RD
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City | CHARLOTTE
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State | NC
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Zip | 28215-8434
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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 | CREDENTIALING MANAGER
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Name | CARY EDGAR
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Credential |
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Telephone | 480-206-6240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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