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General NPI Number Information
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NPI Number | 1518102193
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Entity Type | Organization
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Legal Business Name | CAROLINAS COASTAL HEALTH, PC
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1003 OLDE WATERFORD WAY SUITE 1-C
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City | LELAND
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State | NC
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Zip | 28451-4167
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Country | US
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Telephone | 910-338-0588
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 OLDE WATERFORD WAY SUITE 1-C
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City | LELAND
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State | NC
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Zip | 28451-4167
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Country | US
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Telephone | 910-338-0588
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES WELLINGTON ADAMS
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Credential | MD
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Telephone | 910-352-2396
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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 | 101843
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License Number State | NC
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