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General NPI Number Information
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NPI Number | 1497601470
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Entity Type | Organization
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Legal Business Name | CAROMONT ORTHOPEDIC & SPORTS MEDICINE CENTER
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 2345 COURT DR
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City | GASTONIA
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State | NC
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Zip | 28054-2151
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Country | US
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Telephone | 704-865-0077
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Fax | 704-867-6401
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Provider Business Mailing Address
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Address Line | PO BOX 744786
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City | ATLANTA
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State | GA
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Zip | 30374-4786
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Country | US
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Telephone | 704-834-2450
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Fax | 704-671-5331
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Authorized Official
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Title or Position | CEO
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Name | KENNETH CHRISTOPHER PEEK
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Credential |
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Telephone | 704-834-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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