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General NPI Number Information
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NPI Number | 1487651535
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Entity Type | Individual
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Provider Name | CHARLES GIBBS VASEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 123 WAMSUTTA MILL RD STE C
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City | MORGANTON
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State | NC
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Zip | 28655-5521
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Country | US
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Telephone | 828-430-3511
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Fax |
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Provider Business Mailing Address
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Address Line | 127 WAMSUTTA MILL RD STE D
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City | MORGANTON
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State | NC
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Zip | 28655-5523
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Country | US
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Telephone | 828-430-3511
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Fax | 828-368-4303
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 30505
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License Number State | NC
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