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General NPI Number Information
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NPI Number | 1487067070
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Entity Type | Organization
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Legal Business Name | PHYSICAL MEDICINE OF THE CAROLINA'S
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 40 WESTGATE PKWY #5
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City | ASHEVILLE
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State | NC
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Zip | 28806-3867
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Country | US
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Telephone | 803-547-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 1698 HIGHWAY 160 W SUITE 200
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City | FORT MILL
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State | SC
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Zip | 29708-8032
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Country | US
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Telephone | 803-547-4343
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Fax | 803-547-3914
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RICHARD S SCHAFFER JR.
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Credential | MD
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Telephone | 803-547-4343
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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 | 2009-01463
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License Number State | NC
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