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General NPI Number Information
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NPI Number | 1477215358
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Entity Type | Organization
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Legal Business Name | HEALTHCARE DIRECT, PLLC
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 7200 CREEDMOOR RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27613-1711
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Country | US
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Telephone | 919-719-2270
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Fax | 919-488-5152
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Provider Business Mailing Address
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Address Line | 7200 CREEDMOOR RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27613-1711
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Country | US
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Telephone | 919-719-2270
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Fax | 919-488-5152
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Authorized Official
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Title or Position | MANAGER
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Name | MATTHEW KANAAN
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Credential | DO
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Telephone | 919-791-5583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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